Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 73957 | GA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 73957 | GA |
NPI | 1568723849 |
---|---|
Provider Name | Dr. Parin Manilal Chheda |
First Address | Marietta, GA 30060-1101 |
Second Address | Marietta, GA 30060-1101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 08/01/2020 |