RAJU MIDHA (NPI# 1497745251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497745251 |
| Entity Type | Individual |
| Full Name | RAJU MIDHA |
| Credential | M.D. |
| Practice Address |
1404 Montreal Rd Tucker GA 30084 |
| Practice Telephone | 7704928665 |
| Practice Fax Number | 7704928663 |
| Mailing Telephone | 7704928665 |
| Mailing Fax Number | 7704928663 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54164 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 054164 | 01 |
| GA | 003108944B | 05 |
| Street Address |
1404 MONTREAL RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649579046 | Midha Medical Clinic | Family Medicine | 1404 Montreal Rd, Tucker, GA 30084 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| 1780970822 | Rosiland Kay Harrington | Family Medicine | 1370 Montreal Rd Ste 112, Tucker, GA 30084-8128 | 2011-06-28 |
| 1164718755 | Marva Ayers | Family Medicine | 3656 Canadian Way, Tucker, GA 30084-8107 | 2011-06-22 |
| 1861526626 | Rika Medical Clinic LLC | Family Medicine | 2157 Ilewood Road, Suite B, Tucker, GA 30084 | 2007-03-15 |
| 1235260696 | Inder Paul Singh | Family Medicine | 2130 Lavista Exec Park Dr, Tucker, GA 30084-5421 | 2007-03-08 |
| 1659483733 | Janet Bivens | Family Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084-4905 | 2006-08-31 |
| 1750499315 | Tatyana Gorokhov | Family Medicine | 2012 Harobi Dr, Ste B, Tucker, GA 30084-5161 | 2006-08-25 |
| 1013925999 | Vera Annette Reaves | Family Medicine | 2892 Mountain Industrial Blvd, Tucker, GA 30084-3014 | 2006-08-04 |
| 1154358760 | Dich Van Nguyen | Family Medicine | 4865 Lavista Rd, Tucker, GA 30084-4436 | 2006-06-27 |
| 1235177072 | Kareem U Ali | Family Medicine | 2362 Main St, Tucker, GA 30084-4477 | 2006-06-03 |
| Find all providers in TUCKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.