MEDICARE: ANAND P LALAJI 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	2085R0202X	Diagnostic Radiology Physician	26875	WV
2	2085R0202X	Diagnostic Radiology Physician	050198	GA

General Provider Information

NPI Number	:	1649245747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAND P LALAJI MD

Provider Business Mailing Address
First Line	:	3475 PIEDMONT RD NE
Second Line	:	STE 1150
City	:	ATLANTA
State	:	GA
Zip	:	30305-3003
Country	:	US
Telephone Number	:	404-946-9630
Fax Number	:	404-506-9481

Provider Business Practice Location Address
First Line	:	3475 PIEDMONT RD NE
Second Line	:	STE 1150
City	:	ATLANTA
State	:	GA
Zip	:	30305-3003
Country	:	US
Telephone Number	:	404-946-9633
Fax Number	:	404-946-2868

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/09/2021

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