Provider Demographics
NPI:1285816017
Name:VOHRA-KHULLAR, PAMELA DEVI (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DEVI
Last Name:VOHRA-KHULLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 CLIFTON RD NE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-4200
Mailing Address - Country:US
Mailing Address - Phone:404-778-2700
Mailing Address - Fax:404-778-2845
Practice Address - Street 1:1525 CLIFTON RD NE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-4200
Practice Address - Country:US
Practice Address - Phone:404-778-2700
Practice Address - Fax:404-778-2845
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA69662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine