Healthcare Provider Details

I. General information

NPI: 1831754639
Provider Name (Legal Business Name): AJIT VAKHARIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5671 PEACHTREE DUNWOODY RD STE 900
SANDY SPRINGS GA
30342-5022
US

IV. Provider business mailing address

5671 PEACHTREE DUNWOODY RD STE 900
SANDY SPRINGS GA
30342-5022
US

V. Phone/Fax

Practice location:
  • Phone: 404-847-9999
  • Fax: 404-531-8466
Mailing address:
  • Phone: 404-847-9999
  • Fax: 404-531-8466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number111708
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: