MEDICARE: MUSHARAF MOMIN INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		GA

General Provider Information

NPI Number	:	1932240124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSHARAF MOMIN INC

Provider Business Mailing Address
First Line	:	2437 LAKE ERMA DR
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-6087
Country	:	US
Telephone Number	:	404-783-1558
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 EAGLE SPRING CT
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7274
Country	:	US
Telephone Number	:	678-759-2278
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MUSHARAF MOMIN
Credential	:	M.D
Telephone Number	:	404-783-1767

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	05/20/2025

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Directions to “MUSHARAF MOMIN INC ” Practice Location

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