Provider Demographics
NPI:1336306612
Name:PATHAK, NEHA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:PATHAK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:PRIMARY CARE SERVICE
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-321-6111
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:PRIMARY CARE SERVICE
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-321-6111
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2013-09-17
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Provider Licenses
StateLicense IDTaxonomies
GA067954207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine