Provider Demographics
NPI:1891716890
Name:SAKHALKAR, MONALI V (MD)
Entity Type:Individual
Prefix:
First Name:MONALI
Middle Name:V
Last Name:SAKHALKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:770 PINE ST
Mailing Address - Street 2:STE 500
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2173
Mailing Address - Country:US
Mailing Address - Phone:478-633-8033
Mailing Address - Fax:478-633-8039
Practice Address - Street 1:770 PINE ST
Practice Address - Street 2:STE 500
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2173
Practice Address - Country:US
Practice Address - Phone:478-633-8033
Practice Address - Fax:478-633-8039
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA066807207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology