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

Dr. Takki Momin, MD

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1871212563

Dr. Takki Momin, MD is a Clinical Laboratory Director (Non-physician) in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
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

3069 Amwiler Rd Ste 1
Atlanta, GA 30360-2825
Phone: (404) 910-9116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X · Licence 11D2261376 (GA)

Record details

NPI number1871212563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022

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