Provider Demographics
NPI:1588827513
Name:MERCHANT, RIDDHI SALIM (MD)
Entity Type:Individual
Prefix:
First Name:RIDDHI
Middle Name:SALIM
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:345 HUNTINGTON PLACE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8651
Mailing Address - Country:US
Mailing Address - Phone:678-782-6920
Mailing Address - Fax:678-782-6921
Practice Address - Street 1:345 HUNTINGTON PLACE CT STE 200
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8651
Practice Address - Country:US
Practice Address - Phone:678-782-6920
Practice Address - Fax:678-782-6921
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66146207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine