IndividualActive
Ajay Premkumar, MD, MPH
NPI 1194188458 · Adult Reconstructive Orthopaedic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1194188458
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 91707 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
21 Ortho Ln
Atlanta, GA 30329-2315
Phone: (678) 336-6928
Approximate (ZIP-level) locationGet directions
Mailing address
21 Ortho Ln
Atlanta, GA 30329-2315
Registry dates
- Enumerated
- 2016-04-03
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.