Provider Demographics
NPI:1881642866
Name:RANGWALLA, NIKITA C (MD)
Entity type:Individual
Prefix:DR
First Name:NIKITA
Middle Name:C
Last Name:RANGWALLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NIKITA
Other - Middle Name:SATYEN
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1001 JOHNSON FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1605
Mailing Address - Country:US
Mailing Address - Phone:404-250-2972
Mailing Address - Fax:404-250-2358
Practice Address - Street 1:1001 JOHNSON FERRY ROAD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:678-344-1960
Practice Address - Fax:404-785-4969
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0550112080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine