Vidal Bakshi, CST, CSFA
Individual provider Active NPI Surgical Assistant · Johns Creek, GA
NPI 1982302386 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1982302386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 215334 (GA)
- Practice address
- 6325 Hospital Pkwy
Johns Creek, GA 30097-5775 - Phone
- (678) 474-7000
- NPI assigned
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215334 | GA | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 215334 | GA | Yes |
Addresses
Primary practice location
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Mailing address
3222 Grove Meadows CV
Lawrenceville, GA 30044-3459
Other providers in Johns Creek, GA
- Emily N Bailey
- Neela R Bakane
- Gina Renee Baker
- Madisen Elizabeth Baker
- Natalee Gordon Baker
- Junghwan Bang
- Brenda Lynn Banks
- Sarah Robinson Barbera
- Mickisha T Barboa
- Megan Elizabeth Barfield
All providers in Johns Creek, GA · Surgical Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.