Individual
SOHAM MAHADEVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ROOM D125A, ATLANTA, GA 30322-1059
(404) 712-4686
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71362
GA
Other
Enumeration date
05/06/2009
Last updated
05/06/2019
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