Individual provider · Type 1 NPI

Jani Widjaja, MD

Diagnostic Radiology Physician · Lawrenceville, GA

NPI number 1902881287 Active

Practice location

1000 Medical Center Blvd, Radiology Dept
Lawrenceville, GA 30045-7694

Call (770) 995-4321 Map

Mailing address

PO Box 1746
Indianapolis, IN 46206-1746

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X49221 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1902881287

Jani Widjaja, MD's National Provider Identifier is 1902881287, issued on Dec 9, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 6, 2022.