Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAVAN KUMAR MAMILLA, M.D
ActiveDR. PAVAN KUMAR MAMILLA, M.D is a Family Medicine healthcare provider located in ALPHARETTA, Georgia. NPI 1417188103 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ALPHARETTA, GA
Registration Details
- NPI Number
- 1417188103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2009 (17.044257472569 yrs)
- Last Updated
- Nov 2, 2023
- Licenses
-
MD.33421 (AL)79227 (GA)
Practice Information
- Address
-
11379 SOUTHBRIDGE PKWY STE AALPHARETTA, GA, 300224402Browse GA providers · Browse ZIP 30022
- Phone
- 7707770750
- Fax
- 7707770521
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ALPHARETTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DEBRA KAY LEVIN | MD | 1518959964 |
| DR. STUART IRWIN LEVIN | MD | 1053303446 |
| RITU KHANNA SHETTY | MD | 1932192788 |
| TERENCE L. MORACZEWSKI | M.D. | 1841273422 |
| THOMAS E. BAT | M.D. | 1831172410 |
| DAVID L. HALL | M.D. | 1962486381 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.