Korotana, Pavendeep

Korotana, Pavendeep is an sole proprietor health care provider with primary practice located at 800 Mount Vernon Hwy Ne Ste 130 , Sandy Springs GA 30328-4293. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Korotana, Pavendeep can be contacted via phone (770) 255-1249.

Contact Information

Primary practice address
800 Mount Vernon Hwy Ne Ste 130 Sandy Springs GA 30328-4293
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT003173 Georgia

Profile Details

NPI number 1588211460
LBN Legal business name Korotana, Pavendeep
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2019
Last updated Feb 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers