Provider Demographics
NPI:1730150814
Name:MUNJAL, ARUN K (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:K
Last Name:MUNJAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4015 S COBB DR SE STE 101
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6315
Mailing Address - Country:US
Mailing Address - Phone:770-432-2159
Mailing Address - Fax:770-432-2506
Practice Address - Street 1:4015 S COBB DR SE
Practice Address - Street 2:STE# 101
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6303
Practice Address - Country:US
Practice Address - Phone:770-432-2159
Practice Address - Fax:770-432-2506
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0476272084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00889864CMedicaid
GA00889864DMedicaid
GA260051772Medicare ID - Type UnspecifiedRAILROAD MEDICARE PROVIDE
GA26BDJBTMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
GA00889864DMedicaid