Provider Demographics
NPI:1225003320
Name:LALAJI, TEJAL M (MD)
Entity Type:Individual
Prefix:MRS
First Name:TEJAL
Middle Name:M
Last Name:LALAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TEJAL
Other - Middle Name:MAHENDRA
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3340 PEACHTREE RD NE
Mailing Address - Street 2:STE 2025
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1084
Mailing Address - Country:US
Mailing Address - Phone:404-946-9630
Mailing Address - Fax:404-946-2869
Practice Address - Street 1:3340 PEACHTREE ROAD NE
Practice Address - Street 2:SUITE 2025
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30577-6002
Practice Address - Country:US
Practice Address - Phone:404-946-9630
Practice Address - Fax:404-946-2869
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0525932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI20615Medicare UPIN