Individual
MOHAMMAD ALI KUKASWADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4904 TIMBER RIDGE DRIVE, SUITE 305, DOUGLASVILLE, GA 30135
(678) 501-5420
(678) 501-5427
Mailing address
822 RIVERTON PARK PL SE, MABLETON, GA 30126-5685
(678) 501-5420
(678) 501-5427
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
043997
GA
2084N0400X
Neurology Physician
GEORGIA
GA
Other
Enumeration date
10/25/2006
Last updated
09/15/2020
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