Active NPI
Raj K Gandhi & Chandi P Sharma PTR
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1609091883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 917736
- Legal business name
- RAJ K GANDHI & CHANDI P SHARMA PTR
- Practice address
- 2645 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8351 - Phone
- (404) 794-0014
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meera Mehta
- Title
- Office Manager
- Phone
- (404) 794-0014
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 917736 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 015563 | GA | |
| Ophthalmology Physician | 207W00000X | 019638 | GA | |
| Surgery Physician | 208600000X | 016914 | GA |
Addresses
Primary practice location
2645 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8351
Mailing address
2645 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8351
Phone (404) 794-0014
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000151522A | Medicaid | GA | |
| 000014539C | Medicaid | GA | |
| 000009765B | Medicaid | GA | |
| 085000870G | Medicaid | GA | |
| 000143954A | Medicaid | GA |
Other names 1
- HIGHTOWER MEDICAL & DENTAL CLINIC
National Provider Directory
National Provider DirectoryLocations
2645 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (404) 794-0014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214006400000",
"number": "1609091883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303188351",
"telephone_number": "404-794-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303188351",
"telephone_number": "404-794-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJ K GANDHI & CHANDI P SHARMA PTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2008-06-21",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "MEERA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "404-794-0014"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "917736",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "015563",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "GA",
"license": "019638",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "016914",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000151522A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000014539C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000009765B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085000870G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000143954A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HIGHTOWER MEDICAL & DENTAL CLINIC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.