Individual
RAHUL KOMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC2114, CHICAGO, IL 60637
(773) 702-1864
Mailing address
1100 JOHNSON FERRY RD, STE 593, ATLANTA, GA 30342-1733
(404) 255-9096
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301105302
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
036.146605
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
84855
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2014
Last updated
03/23/2020
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