Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Muktak Mathur, MD

Individual provider Family Medicine Physician · NPI 1952558678

Dr. Muktak Mathur, MD is a Family Practice in Morrow, Georgia. Qualified in 2003, 23 years ago. Practices with Vituity-Virginia Hospitalists PC, a 109-clinician group and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
23
Licensed in
GA, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Corporate Center Dr Ste 200
Morrow, GA 30260-4129
Phone: (770) 968-6460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101252128 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 001794 (GA)

Record details

NPI number1952558678
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2008
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address12125 Elnora Ln, Glen Allen, VA 23059-7091

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Vituity-Virginia Hospitalists Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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