MITRA POORAK

CONYERS, GA
NPI1881072940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036-161760)
Additional Taxonomies208600000X Surgery
(Licence: GA  008421)
Enumeration Date2015-05-09
Last Update Date2023-10-30
Business Address
MITRA POORAK M.D.
1301 SIGMAN RD NE STE 180
CONYERS, GA 30012-3924
Phone number: 770-922-4024
Mailing Address
MITRA POORAK M.D.
1444 VALLEY VIEW RD
ATLANTA, GA 30338-4825
Phone number: 404-516-1024