Basic Information
| Provider Information | |||||||||
| NPI: | 1285816017 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOHRA-KHULLAR | ||||||||
| FirstName: | PAMELA | ||||||||
| MiddleName: | DEVI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 CLIFTON RD NE | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303224200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047782700 | ||||||||
| FaxNumber: | 4047782845 | ||||||||
| Practice Location | |||||||||
| Address1: | 1525 CLIFTON RD NE | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303224200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047782700 | ||||||||
| FaxNumber: | 4047782845 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2007 | ||||||||
| LastUpdateDate: | 08/26/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 69662 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.