Search › Georgia › 207Q00000X
Pavan Kumar Mamilla, M.D
NPI 1417188103 · on the registry since 2009
Practice
- Address
- 11379 Southbridge Pkwy Ste A
Alpharetta, GA 30022 - Phone
- (770) 777-0750
- Fax
- (770) 777-0521
- Organisation at this address
- Metro Medical Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- AL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-02
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