MEDICARE: DR. RAJENDRAN ALAPPAN M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	049226	GA
2	207RN0300X	Nephrology Physician	23541	AL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	390007272	OTHER	GA	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	60010217	OTHER	GA	BCBS AL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	51098511	OTHER	AL	BCBS AL
8	52825169	OTHER	GA	BCBS GA

NPI Number	:	1225024557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJENDRAN ALAPPAN M.D.

Provider Business Mailing Address
First Line	:	6228 BRADLEY PARK DR
Second Line	:	SUITE A
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3603
Country	:	US
Telephone Number	:	706-322-1486
Fax Number	:	706-324-3419

Provider Business Practice Location Address
First Line	:	6228 BRADLEY PARK DR
Second Line	:	SUITE A
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3603
Country	:	US
Telephone Number	:	706-322-1486
Fax Number	:	706-324-3419

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	12/16/2022