Provider Demographics
NPI:1427581875
Name:MUKHERJEE, ABHIGYAN (MD)
Entity type:Individual
Prefix:
First Name:ABHIGYAN
Middle Name:
Last Name:MUKHERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 J DEWEY GRAY CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6554
Mailing Address - Country:US
Mailing Address - Phone:706-863-8155
Mailing Address - Fax:706-863-8175
Practice Address - Street 1:3623 J DEWEY GRAY CIR STE 202
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6554
Practice Address - Country:US
Practice Address - Phone:706-863-8155
Practice Address - Fax:706-863-8175
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA105178207RI0011X
FL34420390200000X
TXU4579207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program