Mahantkeshavjivandas LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MAHANTKESHAVJIVANDAS LLC

Practice address

11175 Cicero Dr Ste 140
Alpharetta, GA 30022-1179

Phone

(404) 835-1575

Fax

(404) 835-1535

NPI assigned

Oct 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kinjal Ghelani, MDNPI 1083970701

Title

Member Manager

Phone

(404) 835-1575

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kinjal Janak Ghelani, M.D.

  • Psychiatry Physician
  • Daphne, AL
  • NPI 1083970701

  GA

  Medicare reassignment NPD Authorized official
• Janak Harendra Ghelani, M.D.

  • Psychiatry Physician
  • Mobile, AL
  • NPI 1457517898

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1952900326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CICERO DR STE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221179",
            "telephone_number": "404-835-1575",
            "fax_number": "404-835-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 CICERO DR STE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221179",
            "telephone_number": "404-835-1575",
            "fax_number": "404-835-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 Crestwood Pkwy NW Ste 490",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300961805",
            "country_code": "US",
            "telephone_number": "404-835-1575",
            "fax_number": "404-835-1535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 Airport Blvd # 2-306",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366091987",
            "country_code": "US",
            "telephone_number": "251-283-0003",
            "fax_number": "404-835-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAHANTKESHAVJIVANDAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "KINJAL",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "404-835-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457517898",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083970701",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magellan Healthcare Services
• Veronica Magembe
• Manoj Maggan, DDS, DAAPM, FICCMO
• William Clark Maguire, RPH
• Shreya Chalam Mahadevan, M.D.
• Dominique Maharath, PT, DPT
• Mahavir Health Services, LLC
• Lauren Maher, M.ED., CCC-SLP
• Syed Arif Mahmood, M.D
• Alireza A. Mahyar, DC

• Psychiatry Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.