Individual
PAVENDEEP KOROTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
73 5TH AVE, NEW YORK, NY 10003-3022
(917) 336-9912
(929) 298-7392
Mailing address
6001 PROFESSIONAL PKWY STE 2000, DOUGLASVILLE, GA 30134-5632
(770) 949-3885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003173
GA
Other
Enumeration date
08/24/2019
Last updated
04/17/2026
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