Provider Demographics
NPI:1851520019
Name:KHAROD, NEHA PRABHAKAR (MD)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:PRABHAKAR
Last Name:KHAROD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 TOWNE CENTER BLVD STE 604
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-4070
Mailing Address - Country:US
Mailing Address - Phone:912-561-7001
Mailing Address - Fax:912-561-7002
Practice Address - Street 1:1000 TOWNE CENTER BLVD STE 604
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4070
Practice Address - Country:US
Practice Address - Phone:912-561-7001
Practice Address - Fax:912-561-7002
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA73817207R00000X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine