NPI 1497172951

Prabhakar Mithal

Practitioner Urology Physician Fayetteville, GA

Practice location

Address: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574
Phone: (770) 460-9777
Mailing address: 1930 Brannan Rd, McDonough, GA 30253-4310

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 89259 (GA)

Other Urology providers in Georgia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Registry record

NPI: 1497172951
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2014
Record last updated: 15 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.