Individual
PRABHAVA BAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-4889
(404) 778-0826
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-4889
(404) 778-0826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME125924
FL
208M00000X
Hospitalist Physician
Primary
98134
GA
208M00000X
Hospitalist Physician
ME125924
FL
Other
Enumeration date
11/06/2013
Last updated
03/13/2024
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