Provider Demographics
NPI:1457158834
Name:MUHAMMAD, DARQUEL
Entity type:Individual
Prefix:
First Name:DARQUEL
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5790 WESTCHASE ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30336-2919
Mailing Address - Country:US
Mailing Address - Phone:323-866-9730
Mailing Address - Fax:
Practice Address - Street 1:5790 WESTCHASE ST
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30336-2919
Practice Address - Country:US
Practice Address - Phone:323-866-9730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health