Organization Active NPI

Raj K Gandhi & Chandi P Sharma PTR

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1609091883
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
917736 Issued in GA
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

Updated by the provider on Jun 21, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 917736 GA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 015563 GA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 019638 GA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000151522AMedicaidGA
000014539CMedicaidGA
000009765BMedicaidGA
085000870GMedicaidGA
000143954AMedicaidGA

Other names 1

  • HIGHTOWER MEDICAL & DENTAL CLINIC Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.