Kalyani Rajeev, MD | |
301 Medical Dr, Suite 504, Lagrange, GA 30240-4144 | |
(706) 882-5437 | |
Not Available |
Full Name | Kalyani Rajeev |
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Gender | Female |
Speciality | Pediatrics |
Location | 301 Medical Dr, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083613525 | NPI | - | NPPES |
416240451H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2002006501 (Missouri) | Secondary |
208000000X | Pediatrics | 058657 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Kalyani Rajeev, MD 301 Medical Dr, Suite 504, Lagrange, GA 30240-4144 Ph: (706) 882-5437 | Kalyani Rajeev, MD 301 Medical Dr, Suite 504, Lagrange, GA 30240-4144 Ph: (706) 882-5437 |
Eric James Zerla, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Doctors Dr, Suite 300, Lagrange, GA 30240 Phone: 706-884-2686 Fax: 706-812-0468 | |
Holly Mcmahon Dawson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-812-2369 | |
Diana L Hess, CNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-885-1961 Fax: 706-885-1963 | |
Joseph Morris Almand Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Doctors Dr, Suite 300, Lagrange, GA 30240 Phone: 706-884-2686 Fax: 706-812-0468 | |
George John Lechacz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Doctors Dr, Suite 300, Lagrange, GA 30240 Phone: 706-884-2686 Fax: 706-812-0468 | |
Dr. Nicole Dupraw Carter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 504, Lagrange, GA 30240 Phone: 706-812-2655 |