MEDICARE: RAJIV K SETIA MD

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
1	208000000X	Pediatrics Physician	37368	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205868205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJIV K SETIA MD

Provider Business Mailing Address
First Line	:	225 HAWTHORNE PARK
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2151
Country	:	US
Telephone Number	:	706-613-6136
Fax Number	:	706-543-0706

Provider Business Practice Location Address
First Line	:	225 HAWTHORNE PARK
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2151
Country	:	US
Telephone Number	:	706-613-6136
Fax Number	:	706-543-0706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/23/2008

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