MEDICARE: DR MAHAVEER VAKHARIA MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	038390	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871739680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR MAHAVEER VAKHARIA MD PC

Provider Business Mailing Address
First Line	:	4171 MARIETTA ST STE 200
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2696
Country	:	US
Telephone Number	:	770-943-8701
Fax Number	:	770-943-8936

Provider Business Practice Location Address
First Line	:	4171 MARIETTA ST STE 200
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2696
Country	:	US
Telephone Number	:	770-943-8701
Fax Number	:	770-943-8936

Authorized Official
Title or Position	:	MD
Name	:	MR. MAHAVEER C VAKHARIA
Credential	:	MD
Telephone Number	:	770-943-8701

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	09/12/2024

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