Provider Demographics
NPI:1285886184
Name:JANHO, RAJAE A (MD)
Entity type:Individual
Prefix:DR
First Name:RAJAE
Middle Name:A
Last Name:JANHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2759 DELK RD SE
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8847
Mailing Address - Country:US
Mailing Address - Phone:770-858-0062
Mailing Address - Fax:770-858-1729
Practice Address - Street 1:2759 DELK RD SE
Practice Address - Street 2:SUITE 2400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8847
Practice Address - Country:US
Practice Address - Phone:770-858-0062
Practice Address - Fax:770-858-1729
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035272208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery