Individual
DR. MOHSEN KHODAKARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2721 BUFORD HWY, BUFORD, GA 30518-3507
(770) 945-4800
(770) 271-8428
Mailing address
2721 BUFORD HWY, BUFORD, GA 30518-3507
(770) 945-4800
(770) 271-8428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051673
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699854934A
—
GA
Enumeration date
11/03/2005
Last updated
11/19/2025
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