Provider Demographics
NPI:1396489845
Name:NAGAR, RIA RAJEEV
Entity type:Individual
Prefix:
First Name:RIA
Middle Name:RAJEEV
Last Name:NAGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 PEACHTREE ST NE UNIT 1906
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4482
Mailing Address - Country:US
Mailing Address - Phone:425-246-9996
Mailing Address - Fax:
Practice Address - Street 1:33 GILMER ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3044
Practice Address - Country:US
Practice Address - Phone:404-413-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program