Individual
HODA AGRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Mailing address
1016 HOWELL MILL RD NW APT 2401, ATLANTA, GA 30318-5586
(678) 362-7880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108789300
—
FL
Enumeration date
11/03/2020
Last updated
10/11/2023
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