Provider Demographics
NPI:1316906043
Name:RAINA, AARTI (MD)
Entity type:Individual
Prefix:DR
First Name:AARTI
Middle Name:
Last Name:RAINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 BUFORD HWY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6585
Mailing Address - Country:US
Mailing Address - Phone:770-781-1606
Mailing Address - Fax:866-800-4024
Practice Address - Street 1:1670 BUFORD HWY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6585
Practice Address - Country:US
Practice Address - Phone:770-781-1606
Practice Address - Fax:866-800-4024
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45591208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000849318EMedicaid
10596269OtherCAQH