Provider Demographics
NPI:1871739680
Name:DR MAHAVEER VAKHARIA MD PC
Entity type:Organization
Organization Name:DR MAHAVEER VAKHARIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHAVEER
Authorized Official - Middle Name:C
Authorized Official - Last Name:VAKHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-943-8701
Mailing Address - Street 1:4171 MARIETTA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-2696
Mailing Address - Country:US
Mailing Address - Phone:770-943-8701
Mailing Address - Fax:770-943-8936
Practice Address - Street 1:4171 MARIETTA ST STE 200
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2696
Practice Address - Country:US
Practice Address - Phone:770-943-8701
Practice Address - Fax:770-943-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0383902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00677652AMedicaid