Provider Demographics
NPI:1710302161
Name:PARIKH, JYOTI R (MD)
Entity Type:Individual
Prefix:
First Name:JYOTI
Middle Name:R
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JYOTI
Other - Middle Name:V
Other - Last Name:MEATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 HIGHWAY 18 W
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30204-1171
Mailing Address - Country:US
Mailing Address - Phone:770-358-3284
Mailing Address - Fax:770-358-1015
Practice Address - Street 1:100 HIGHWAY 18 W
Practice Address - Street 2:SUITE 106
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-1171
Practice Address - Country:US
Practice Address - Phone:770-358-3284
Practice Address - Fax:770-358-1015
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA32959207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine