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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAINE WILLIAM PENDARVIS, M.D.

Active

DR. RAINE WILLIAM PENDARVIS, M.D. is a Diagnostic Radiology healthcare provider located in ALPHARETTA, Georgia. NPI 1760467005 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · ALPHARETTA, GA

Registration Details

NPI Number
1760467005
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2005 (20.699051380162 yrs)
Last Updated
Jun 27, 2025
Licenses
15628 (NV)
036110696 (IL)
ME84545 (FL)
24145 (OK)
046803 (GA)

Practice Information

Address
3107 WATSONS BND
ALPHARETTA, GA, 300048825
Browse GA providers · Browse ZIP 30004
Phone
6786910487
Fax
6786910487
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in ALPHARETTA, GA

Name Credential NPI
DR. RAJASHAKHER P REDDY M.D. 1568448421
DR. STEPHANIE SUE HEINLEN M.D. 1588601371
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.