Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301094983 | MI |
N | 111NI0900X | Internist | 4301094983 | MI |
Y | 207RA0201X | Internist - Allergy & Immunology | 73817 | GA |
NPI | 1851520019 |
---|---|
Provider Name | Dr. Neha Prabhakar Kharod |
First Address | Villa Rica, GA 30180-4180 |
Second Address | Villa Rica, GA 30180-1262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 17/03/2018 |