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NPI Code Detail

MEDICARE: DR. SRIJANA RANJIT M.D.

MEDICARE: DR. SRIJANA RANJIT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician069697GA

General Provider Information

NPI Number : 1124344403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SRIJANA RANJIT M.D.
Provider Business Mailing Address
First Line : 250 MARTIN LUTHER KING JR BLVD
Second Line :
City : MACON
State : GA
Zip : 31201-3490
Country : US
Telephone Number : 478-301-2362
Fax Number : 478-301-2272
Provider Business Practice Location Address
First Line : 201 AVERA DR
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-5008
Country : US
Telephone Number : 478-825-3317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 08/12/2021

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