Provider Demographics
NPI:1790308955
Name:KAMBOJ, POOJA (MD)
Entity Type:Individual
Prefix:MS
First Name:POOJA
Middle Name:
Last Name:KAMBOJ
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 1:2084 HEADLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2135
Mailing Address - Country:US
Mailing Address - Phone:404-965-5691
Mailing Address - Fax:404-698-1478
Practice Address - Street 1:2084 HEADLAND DR
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2135
Practice Address - Country:US
Practice Address - Phone:404-965-5691
Practice Address - Fax:404-698-1478
Is Sole Proprietor?:No
Enumeration Date:2020-05-22
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine