Provider Demographics
NPI:1497818124
Name:ARUN A. POL, MD, PC
Entity Type:Organization
Organization Name:ARUN A. POL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:ANANDRAO
Authorized Official - Last Name:POL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-623-8830
Mailing Address - Street 1:6290 ABBOTTS BRIDGE RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8495
Mailing Address - Country:US
Mailing Address - Phone:770-623-8830
Mailing Address - Fax:770-623-8846
Practice Address - Street 1:6290 ABBOTTS BRIDGE RD
Practice Address - Street 2:SUITE 502
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8495
Practice Address - Country:US
Practice Address - Phone:770-623-8830
Practice Address - Fax:770-623-8846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-17
Last Update Date:2013-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0399072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000825712AMedicaid
GAH01630Medicare UPIN
GA000825712AMedicaid