Healthcare Provider Details

I. General information

NPI: 1225436017
Provider Name (Legal Business Name): AATMA SEVA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 DIXIE ST STE 3
CARROLLTON GA
30117-3870
US

IV. Provider business mailing address

523 DIXIE ST STE 3
CARROLLTON GA
30117-3870
US

V. Phone/Fax

Practice location:
  • Phone: 770-834-8410
  • Fax: 770-834-8414
Mailing address:
  • Phone: 770-834-8410
  • Fax: 770-834-8414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number072070
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DARSHAN A PATEL
Title or Position: MD
Credential:
Phone: 770-834-8410