Rudolph, Priya

Rudolph, Priya is an individual health care provider with primary practice located at 125 King Ave Suite 200, Athens GA 30606-6734. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Rudolph, Priya can be contacted via phone (706) 369-4478.

Contact Information

Primary practice address
125 King Ave Suite 200 Athens GA 30606-6734
Phone: (706) 369-4478
Fax: (706) 353-6639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 068852 Georgia

Profile Details

NPI number 1871587113
LBN Legal business name Rudolph, Priya
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Oct 25th, 2022 - about 4 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 1871587113 NPPES
Georgia MEDICAID 003129225C
Georgia Other P01155926
Georgia MEDICAID 003129225B

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