Allergy Specialists of Georgia

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58930 Issued in GA

Legal business name

ALLERGY SPECIALISTS OF GEORGIA

Practice address

438 Henry Ford
Atlanta, GA 30354

Phone

(678) 235-2401

Fax

(678) 235-2403

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By 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. Shailesh Kothari, D.C.

Title

Ceo

Phone

(404) 423-6840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1801234885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 CALDWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193118",
            "telephone_number": "404-423-6840",
            "fax_number": "770-216-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HENRY FORD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30354",
            "telephone_number": "678-235-2401",
            "fax_number": "678-235-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY SPECIALISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-423-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "58930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Allen III, M.D.
• Yovela Sisika Allen, LCSW, DBH
• Allens Wellness
• Allergy & Asthma of Atlanta, LLC
• Allergy and Asthma Consultants, P.C.
• Alleviating Home Care Services LLC
• Cassandra Alley
• Patricia Alley
• Deborah Dubique Alleyne, PT
• Felicia Allgood, PTA, CPT

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.