Provider Demographics
NPI:1285004507
Name:CARA, MAYUR (DC)
Entity Type:Individual
Prefix:DR
First Name:MAYUR
Middle Name:
Last Name:CARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 INMAN VILLAGE PKWY NE
Mailing Address - Street 2:APT 504
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5543
Mailing Address - Country:US
Mailing Address - Phone:404-259-7338
Mailing Address - Fax:
Practice Address - Street 1:659 AUBURN AVE
Practice Address - Street 2:STE G4
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-566-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor