Provider Demographics
NPI:1215458237
Name:HAJIHA, MOHAMMAD (MD, FRCSC UROLOGY)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:HAJIHA
Suffix:
Gender:M
Credentials:MD, FRCSC UROLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 HOSPITAL PKWY STE 145
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1828
Mailing Address - Country:US
Mailing Address - Phone:404-778-4898
Mailing Address - Fax:909-558-4806
Practice Address - Street 1:6300 HOSPITAL PKWY STE 145
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1828
Practice Address - Country:US
Practice Address - Phone:404-778-4898
Practice Address - Fax:909-558-4806
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91467208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology