Individual
SHAIKHOON MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4919
Mailing address
180 JACKSON ST NE, APT 4314, ATLANTA, GA 30312-1303
(404) 374-0372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83747
GA
390200000X
Student in an Organized Health Care Education/Training Program
008125
GA
Other
Enumeration date
08/20/2015
Last updated
12/19/2019
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