Poorak, Mitra
Poorak, Mitra is an individual health care provider with primary practice located at 1301 Sigman Rd Ne Ste 180 , Conyers GA 30012-3924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Poorak, Mitra can be contacted via phone (770) 922-4024.Contact Information
Primary practice address
1301 Sigman Rd Ne Ste 180
Conyers GA 30012-3924
Phone: (770) 922-4024
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 008421 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-161760 | Illinois |
Profile Details
| NPI number | 1881072940 |
|---|---|
| LBN Legal business name | Poorak, Mitra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2015 |
| Last updated | Oct 30th, 2023 - about 2 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.
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