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General NPI Number Information
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NPI Number | 1659330587
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Entity Type | Individual
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Provider Name | MOHAMMAD AL-MULKI MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 1136 CLEVELAND AVE STE 519
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City | EAST POINT
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State | GA
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Zip | 30344-3618
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Country | US
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Telephone | 404-761-3525
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Fax | 404-766-3696
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Provider Business Mailing Address
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Address Line | PO BOX 91485
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City | EAST POINT
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State | GA
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Zip | 30364-1485
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Country | US
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Telephone | 404-761-3525
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Fax | 404-766-3696
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 020396
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 020396
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License Number State | GA
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