Organization Active NPI

Krisnir Corporation

Doing business as Gwinnett Medicine

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1205372877
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44565 Issued in GA
Legal business name
KRISNIR CORPORATION
Doing business as
Gwinnett Medicine
Practice address
1805 Herrington Rd
BLDG# 2
Lawrenceville, GA 30043-7987
Phone
(770) 822-4410
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Amita S Parikh, MD
Title
President
Phone
(770) 822-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 44565 GA Primary

Addresses

Primary practice location

1805 Herrington Rd
BLDG# 2
Lawrenceville, GA 30043-7987

Mailing address

3215 Sugarloaf Club Dr
Duluth, GA 30097-3709
Phone (770) 822-4410

Other names 1

  • Gwinnett Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1205372877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SUGARLOAF CLUB DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300973709",
            "telephone_number": "770-822-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HERRINGTON RD",
            "address_2": "BLDG# 2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437987",
            "telephone_number": "770-822-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISNIR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "AMITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-822-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "44565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.