POOJA MYSORE MD NPI 1629631395

NPI Information

  • NPI: 1629631395
  • Provider Name: POOJA MYSORE, MD
  • Classification: Anesthesiology - 207LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 80 JESSE HILL JR DR SE BLDG 3
    ATLANTA, GA
    ZIP 30303
  • Phone: (404) 251-8708

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NPI Details

Pooja Mysore, MD is a critical care medicine anesthesiology in Atlanta, GA with 7 years of experience. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Pooja Mysore, MD NPI is 1629631395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 JESSE HILL JR DR SE BLDG 3
ATLANTA, GA
ZIP 30303-031
Phone: (404) 251-8708

The NPI 1629631395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2019 and was last updated on 7/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine100905GEORGIANo
22086S0102XSurgerySurgical Critical Care100905GEORGIANo
3207LC0200XAnesthesiologyCritical Care Medicine100905GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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