Individual
OVAIS INAMULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
87987
GA
2084V0102X
Vascular Neurology Physician
03875
NC
2084V0102X
Vascular Neurology Physician
Primary
87987
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
11/10/2021
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