Raja a. Atiyah, MD PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

39510 Issued in TN

Legal business name

RAJA A. ATIYAH, MD PC

Practice address

1310 N Locust Ave
Lawrenceburg, TN 38464-2208

Phone

(931) 766-7775

Fax

(931) 766-7792

NPI assigned

Jul 3, 2007

Last updated

Dec 28, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

RAJA A. ATIYAH MD PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raja Ata Atiyah, MD,PC

Title

Owner

Phone

(931) 766-7775

Specialties & licenses 1

Addresses

Part of

Raja Atiyah MD PC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1467659375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642208",
            "telephone_number": "931-766-7775",
            "fax_number": "931-766-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642208",
            "telephone_number": "931-766-7775",
            "fax_number": "931-766-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA A. ATIYAH, MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAJA A. ATIYAH MD PC",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "ATIYAH",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "ATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-766-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PC"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TN",
            "license": "39510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.