Individual provider · Type 1 NPI

Max Praya Mam, MD

Diagnostic Radiology Physician · Marietta, GA

NPI number 1679921662 Active

Practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Other practice locations

  • 1120 15th St, Augusta, GA 30912-0004 · (706) 721-2273

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X008270 (GA)
Diagnostic Radiology Physician Primary 2085R0202X008270 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1679921662

Max Praya Mam, MD's National Provider Identifier is 1679921662, issued on May 31, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marietta, GA. The record was last updated on Jul 6, 2022.