Individual
BHAT KRISHNA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-2500
Mailing address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-2500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019407
GA
207RC0000X
Cardiovascular Disease Physician
Primary
019407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00151445A
—
GA
Enumeration date
07/19/2005
Last updated
08/05/2013
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