MUKUL KHURANA
Medical Practice at 26 Ave, Moultrie, GA

License number
Georgia 058975
Category
Medical Practice
Type
Specialist
Owner
Name: MUKUL KHURANA
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (229) 873-3296
Address
Address
780 26Th Ave SE, Moultrie, GA 31768
National Provider ID: 1447425830
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MUKUL KHURANA at bizstanding.com

MUKUL KHURANA, M.D., PC

Moultrie, GA

Status:
Inactive
Industry:
Medical Doctor's Office, Internist
Doing business as:
Mukul Khurana MD
Registration:
May 2, 2007
Inactive since:
Jan 9, 2014
Phone:
(229) 891-9131 (Phone)
Addresses:
780 26 Ave, Moultrie, GA 31768 (Physical)
708 26 Ave SE, Moultrie, GA 31768
PO Box 2109, Moultrie, GA 31776
3131 S Main St, Moultrie, GA 31768
State ID:
07037500
Business type:
Domestic Professional Corporation
Nurse Practitioners:
Mukul Khurana (CFO, Internal Medicine, Medical Doctor, Provider Enrollment Coordinator), 780 26 Ave, Moultrie, GA 31768 (Physical),Renu Khurana (Secretary), 780 26 Ave, Moultrie, GA 31768 (Physical),Litoya Harris Medical Assistant, inactive,...
Agent:
Mukul Khruana,780 26 Ave, Moultrie, GA (Physical)

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