Search › Georgia › 101YP2500X
Mohammad Momtahan, PH.D
NPI 1225271422 · on the registry since 2009
Practice
- Address
- 59 Hillside Trace
Suite 113
Dallas, GA 30157 - Phone
- (770) 443-1644
- Fax
- (770) 443-1633
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
101YA0400X
101YA0400X
101YA0400X
101YA0400X
101YM0800X
174400000X
174400000X - Licence states on file
- GA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-05
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