Midha Medical Clinic

NPI #1649579046 in Tucker, Georgia

Provider Information

NPI Number: 1649579046
Entity Type: Organization
Organization Name: Midha Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2011
Last Updated: Nov 3, 2020

Practice Location

Address: 1404 MONTREAL RD
City: Tucker
State: Georgia
ZIP Code: 30084
Phone: (770) 492-8665

Authorized Official

Name: RAJU MIDHA, M.D.
Title: SOLE MEMBER
Phone: (770) 492-8665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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