Search › Georgia › 208800000X
Prabhakar Mithal
NPI 1497172951 · on the registry since 2014
Practice
- Address
- 1336 Highway 54 W Bldg 200
Fayetteville, GA 30214 - Phone
- (770) 460-9777
- Organisation at this address
- Resurgens, Llc
Resurgens, Llc
Georgia Urology Pa
Georgia Urology Piedmont, Llc
Total Care Physical Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 601 Elmwood Ave Box Surg, Rochester, NY
- 140 Charlois Blvd, Winston Salem, NC
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-15
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