Kukaswadia P.c.
NPI #1548573884 in Douglasville, Georgia
Provider Information
- NPI Number
- 1548573884
- Entity Type
- Organization
- Organization Name
- Kukaswadia P.c.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jul 15, 2010
- Last Updated
- Jan 18, 2012
Practice Location
- Address
- 4904 TIMBER RIDGE DR
- Address 2
- SUITE 305
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-1828
- Phone
- (678) 501-5420
Authorized Official
- Name
- DR. MOHAMMAD A KUKASWADIA, MD
- Title
- PHYSICIAN
- Phone
- (678) 501-5420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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