Individual
MR. MOHAMMAD PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-5000
(404) 257-8601
Mailing address
2199 SUGAR SPRINGS DR, LAWRENCEVILLE, GA 30043-5056
(678) 469-0172
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PENDING
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9999
—
GA
Enumeration date
05/09/2019
Last updated
05/09/2019
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