Doctor Name: | MR. PRAMOD MATHUR |
NPI Number: | 1124188768 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 033-R-0094 |
Business Practice Address: | 1159 Monte Dr Marietta, GA - 300622896 |
Business Phone Number: | 7703216142 |
Business Fax Number: | 7705095364 |
Mailing Address: | 1159 Monte Dr, MARIETTA |
State: | GA |
Postal Code: | 300622896 |
Phone Number: | 7703216142 |
Fax Number: | 7705095364 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 033-R-0094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |