Individual provider Active NPI

Iqbal Hussain Dhanani, M.D.

  • Specialist
  • College Park, GA
National Provider Identifier
1972674190
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
045767 Issued in GA
Practice address
1720 Phoenix Blvd
Suite 570
College Park, GA 30349-5594
Phone
(770) 994-9399
NPI assigned
Nov 10, 2006
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 045767 GA Primary
Psychiatry Physician 2084P0800X 45767 GA

Addresses

Primary practice location

1720 Phoenix Blvd
Suite 570
College Park, GA 30349-5594

Mailing address

1720 Phoenix Blvd
Suite 570
College Park, GA 30349-5594
Phone (770) 994-9399

Other identifiers 2

IdentifierTypeStateIssuer
000799004IMedicaidGA
000799004JMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000392 GA Practitioner - Psychiatry 1355237785 Reassigns benefits to 3 organizations
Practice locations: Atlanta, GA; Riverdale, GA; Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shailesh Patel MD LLCGroup PAC ID 0941574792, 2 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone (770) 991-8319

2480 Windy Hill Rd SE
Suite 107
Marietta, GA 30067-8608
Phone (770) 994-9399

3995 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone (770) 434-4567

5448 Yorktown Dr Marsh BLDG
Atlanta, GA 30349-5317
Phone (770) 994-9399

5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone (770) 994-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45767GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Anchor L.P. Single Specialty CurrentSince Aug 18, 2000 Accepting new patients
RV Behavioral, LLC Single Specialty CurrentSince Mar 26, 2018 Accepting new patients
Shailesh Patel MD LLC Single Specialty CurrentSince Sep 11, 2025 Accepting new patients
Uhs of Anchor L.P. Single Specialty Current Accepting new patients
South Atlanta Neurosurgery Specialist Past Accepting new patients
Advanced Anesthesia Associates, PC Single Specialty PastSince Aug 29, 2023 Accepting new patients
Riverwoods Behavioral Health, LLC Single Specialty Past Accepting new patients

Locations

5448 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3247

5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200

300 Prime Pt
Ste 201
Peachtree City, GA 30269
Phone (770) 434-4567

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

83 Upper Riverdale Rd SW
Ste 300
Riverdale, GA 30274
Phone (678) 284-5620

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1972674190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "address_2": "SUITE 570",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "770-994-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "address_2": "SUITE 570",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "770-994-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANANI",
        "first_name": "IQBAL",
        "middle_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045767",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "45767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799004I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799004J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.