Individual
MUKUL VASANT PATHARKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 500-C, FAYETTEVILLE, GA 30214-4548
(678) 435-3040
(678) 435-3044
Mailing address
77 12TH ST NE, APT 2012, ATLANTA, GA 30309-3972
(347) 247-9526
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
073781
GA
207RI0200X
Infectious Disease Physician
Primary
73781
GA
Other
Enumeration date
01/09/2007
Last updated
04/17/2017
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