Healthcare Provider Details

I. General information

NPI: 1366768376
Provider Name (Legal Business Name): AMIT D SALKAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JOHNSON FERRY RD #220
MARIETTA GA
30068
US

IV. Provider business mailing address

1121 JOHNSON FERRY RD #220
MARIETTA GA
30068
US

V. Phone/Fax

Practice location:
  • Phone: 770-977-0094
  • Fax: 770-509-9463
Mailing address:
  • Phone: 770-977-0094
  • Fax: 770-509-9463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP1-0036645
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP6516
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: