Organization
MAHANTKESHAVJIVANDAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINJAL GHELANI MD (MEMBER MANAGER)
(404) 835-1575
Entity
Organization
Contact information
Practice address
11175 CICERO DR STE 140, ALPHARETTA, GA 30022-1179
(404) 835-1575
(404) 835-1535
Mailing address
11175 CICERO DR STE 140, ALPHARETTA, GA 30022-1179
(404) 835-1575
(404) 835-1535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083970701
—
AL
05
—
1457517898
—
TN
Enumeration date
10/18/2020
Last updated
08/24/2023
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