Provider Demographics
NPI:1164633913
Name:DHOLAKIA, RUT D (MD)
Entity Type:Individual
Prefix:
First Name:RUT
Middle Name:D
Last Name:DHOLAKIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NIN PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:304-293-6963
Practice Address - Street 1:2400 MT. ZION PARKWAY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:304-598-6127
Practice Address - Fax:304-598-6442
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2010-10-04
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Provider Licenses
StateLicense IDTaxonomies
GA0647652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology