Provider Demographics
NPI:1588767909
Name:MIHALOVITS, KARL S (MD)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:S
Last Name:MIHALOVITS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4015 SOUTH COBB DR
Mailing Address - Street 2:#115
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080
Mailing Address - Country:US
Mailing Address - Phone:770-431-2354
Mailing Address - Fax:770-436-7143
Practice Address - Street 1:4015 SOUTH COBB DR
Practice Address - Street 2:#115
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080
Practice Address - Country:US
Practice Address - Phone:770-431-2354
Practice Address - Fax:770-436-7143
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA117762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00098447BMedicaid
GA00098447BMedicaid
D30250Medicare UPIN