Individual
MOHAMMAD ATHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 RIDGEWOOD RD, RIDGELAND, MS 39157-4426
(601) 206-5605
(601) 206-5606
Mailing address
125 BELLINGHAM DR, MADISON, MS 39110-8525
(601) 206-5605
(601) 206-5606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10936
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000012297
—
MS
Enumeration date
11/01/2006
Last updated
03/07/2023
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