Paresh K Thanki, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

BT9306514 Issued in GA

Legal business name

PARESH K THANKI, MD, LLC

Practice address

1707 Boulevard SQ Ste a
Waycross, GA 31501-8030

Phone

(912) 490-0078

Fax

(912) 490-0083

NPI assigned

Dec 16, 2010

Last updated

Dec 16, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paresh K Thanki, M.D.NPI 1982786224

Title

President

Phone

(912) 490-0078

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paresh Thanki, M.D.

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1982786224
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1093018806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 VINEBROOKE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057418",
            "telephone_number": "912-490-0078",
            "fax_number": "912-490-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 BOULEVARD SQ STE A",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018030",
            "telephone_number": "912-490-0078",
            "fax_number": "912-490-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARESH K THANKI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "THANKI",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-490-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "BT9306514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136071824E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I265217",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bradley Daniel Page, PA
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• Pam Wheeler Host Home
• Rosemarie D Parks, MD
• Joshua K Parmelee, OD
• Meredith Yingling Parmelee, O.D.
• Hetal S. Patel, PHARMD
• Nimi Patel

• Psychiatry Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.