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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508206319

Mithun Sam Daniel, DO is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

960 Johnson Fy Rd NE Ste 300
Atlanta, GA 30342-1631
Phone: (404) 255-7325
Fax: (404) 255-3055
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 075104 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508206319
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 26, 2013
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address960 Johnson Fy Rd Ne, Suite 300, Atlanta, GA 30342-1631

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