Individual
DR. SAMIR KISHOR HAJARIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3339 HIGHWAY 34 E STE C, SHARPSBURG, GA 30277-3565
(770) 252-1848
Mailing address
1626 HICKORY WOODS WAY, MARIETTA, GA 30066-2995
(585) 410-0643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009981
GA
111N00000X
Chiropractor
011521
NY
111N00000X
Chiropractor
038.011599
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011521
NY STATE LISCENCE NUMBER
NY
01
—
038.011599
IL CHIROPRACTIC PHYSICIAN LICENSE
IL
01
—
C11521-4B
WORKER'S COMPENSATION
NY
Enumeration date
01/04/2008
Last updated
08/01/2019
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