| Dr Muktak Mathur, MD | |
|
1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | |
| (770) 968-6460 | |
| Not Available |
| Full Name | Dr Muktak Mathur |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1000 Corporate Center Dr Ste 200, Morrow, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952558678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 001794 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 0101252128 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-virginia Hospitalists Pc | 6507245131 | 104 |
| Entity Name | Vituity-virginia Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518611011 PECOS PAC ID: 6507245131 Enrollment ID: O20220628001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Muktak Mathur, MD 12125 Elnora Ln, Glen Allen, VA 23059-7091 Ph: (770) 968-6460 | Dr Muktak Mathur, MD 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 Ph: (770) 968-6460 |
Rana Botlani Esfahani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260 Phone: 770-968-6464 | |
Alvin H Webster, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6522 Peacock Blvd, Morrow, GA 30260 Phone: 678-778-4591 Fax: 770-961-0056 | |
Dr. Evelyn Campbell-bayaan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Mount Zion Rd, Morrow, GA 30260 Phone: 770-629-3217 | |
Rhonda R. Freeman, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 2005 Mount Zion Rd, Morrow, GA 30260 Phone: 770-919-5250 | |
Dr. George W Brown Iv, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 | |
Dr. Mark Mcelhannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 | |
Gabriella Eliese Maris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260 Phone: 770-968-6464 Fax: 770-968-6455 |