Atlanta West Gastroenterology Associates PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

GA26928 Issued in GA

Legal business name

ATLANTA WEST GASTROENTEROLOGY ASSOCIATES PC

Practice address

6084 Professional Parkway
Suite #C
Douglasville, GA 30134

Phone

(770) 949-6548

Fax

(770) 949-9561

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Navinchandra M Ruparelia, MD

Title

Owner

Phone

(770) 949-6548

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1124172952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 PROFESSIONAL PARKWAY",
            "address_2": "SUITE #C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-6548",
            "fax_number": "770-949-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 PROFESSIONAL PARKWAY",
            "address_2": "SUITE #C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-6548",
            "fax_number": "770-949-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WEST GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "RUPARELIA",
        "authorized_official_first_name": "NAVINCHANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-949-6548",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "GA26928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00301122A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.