Kajani, Mirza A

Kajani, Mirza A is an sole proprietor health care provider with primary practice located at 226 E College St Suite B, Griffin GA 30224-4348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kajani, Mirza A can be contacted via phone (678) 987-1490.

Contact Information

Primary practice address
226 E College St Suite B Griffin GA 30224-4348
Phone: (678) 987-1490
Fax: (678) 987-1491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31955 Georgia

Profile Details

NPI number 1306975651
LBN Legal business name Kajani, Mirza A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated Mar 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306975651 NPPES
Georgia Other 300052394 TAX I.D. FOR OTHER INSURA
Georgia MEDICAID 000403147A TAX I.D. FOR OTHER INSURA
Georgia Other 102I100129 TAX I.D. FOR OTHER INSURA
Georgia Other 202I100956 TAX I.D. FOR OTHER INSURA

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