SearchGeorgia183500000X

Mukund Udvadia

NPI 1073927406 · on the registry since 2014

Practice

Address
440 Country Club Dr
Stockbridge, GA 30281
Phone
(770) 506-0677
Fax
(770) 507-5963
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia