Provider Demographics
NPI:1457366882
Name:VAKHARIA, MAHAVEER (MD)
Entity Type:Individual
Prefix:
First Name:MAHAVEER
Middle Name:
Last Name:VAKHARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4171 MARIETTA ST
Mailing Address - Street 2:SUITE 300 A
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-2696
Mailing Address - Country:US
Mailing Address - Phone:770-943-8701
Mailing Address - Fax:770-943-8936
Practice Address - Street 1:4171 MARIETTA ST
Practice Address - Street 2:SUITE 300 A
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2696
Practice Address - Country:US
Practice Address - Phone:770-943-8701
Practice Address - Fax:770-943-8936
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0383902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00677652AMedicaid
GA26BDFJJMedicare ID - Type Unspecified
GA00677652AMedicaid