Provider Demographics
NPI:1205195617
Name:VEKARIA, ANJALI S (MD)
Entity type:Individual
Prefix:DR
First Name:ANJALI
Middle Name:S
Last Name:VEKARIA
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 1:3400 OLD MILTON PKWY STE C370
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3747
Mailing Address - Country:US
Mailing Address - Phone:404-737-4500
Mailing Address - Fax:
Practice Address - Street 1:3400 OLD MILTON PKWY STE C370
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3747
Practice Address - Country:US
Practice Address - Phone:404-737-4500
Practice Address - Fax:404-737-0600
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89038207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003261420BMedicaid