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Prabhakar Mithal
Urology Physician in Fayetteville, Georgia
NPI 1497172951

Prabhakar Mithal is a Urology Physician based in Mcdonough, GA. Prabhakar Mithal practices in Fayetteville, GA. The NPI Number for Prabhakar Mithal is 1497172951 and holds a License No. (Georgia).

The current practice location address for Prabhakar Mithal is 1336 Highway 54 W Bldg 200, Fayetteville, GA and can be reached out via phone at 770-460-9777. You can also correspond with Prabhakar Mithal through the mailing address at 1930 BRANNAN RD, MCDONOUGH, GA - 30253-4310 (mailing address contact number: 678-284-4040).

Location: 1336 Highway 54 W Bldg 200, Fayetteville, GA, 30253-4310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497172951
Provider Name
Prabhakar Mithal
Credential
Provider Entity Type
Individual
Gender
Male
Address
1336 Highway 54 W Bldg 200, Fayetteville, GA, 30253-4310
Phone Number
770-460-9777
Fax Number
Provider Enumeration Date
03/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1336 Highway 54 W Bldg 200
City
Fayetteville
State
Georgia
Zip
30214-4574
Phone Number
770-460-9777
Fax Number
person
Provider Business Mailing Address Details
Address
1930 Brannan Rd
City
Mcdonough
State
Georgia
Zip
30253-4310
Phone Number
678-284-4040
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
89259 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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