Individual
PARTH JAMINDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 W BELVEDERE AVE STE 56, BALTIMORE, MD 21215-5224
(410) 601-5200
(410) 601-7749
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 721-2423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
005664
GA
207R00000X
Internal Medicine Physician
074275
GA
207R00000X
Internal Medicine Physician
Primary
D91111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162444A
—
GA
01
—
10000164877
BCBS GA
GA
01
—
295071
MEDCOST
GA
01
—
GA1772
SC MEDICAID
GA
Enumeration date
06/26/2012
Last updated
03/09/2022
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