Individual
DR. FERDOS KHAN POHLEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, MSB 2ND FLOOR, ATHENS, GA 30606-2797
(706) 475-1700
(706) 475-1790
Mailing address
1500 OGLETHORPE AVE, SUITE 600A, ATHENS, GA 30606-2179
(706) 475-4933
(706) 208-8259
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
053515
GA
207RI0011X
Interventional Cardiology Physician
Primary
053515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552653279C
—
GA
05
—
552653279D
—
GA
05
—
552653279E
—
GA
05
—
552653279F
—
GA
05
—
552653279G
—
GA
05
—
552653279H
—
GA
05
—
552653279I
—
GA
05
—
552653279J
—
GA
Enumeration date
06/20/2006
Last updated
01/05/2015
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