Individual
BALJINDER MUDAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1052 WASHITA AVE NE, ATLANTA, GA 30307-1943
(301) 257-1999
Mailing address
1052 WASHITA AVE NE, ATLANTA, GA 30307-1943
(301) 257-1999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
054321
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063835622J
—
GA
Enumeration date
09/22/2006
Last updated
10/04/2012
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