Individual
PARESH THANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6100
Mailing address
3718 VINEBROOKE DRIVE, VALDOSTA, GA 31602
(229) 244-9686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55344
GA
Other
Enumeration date
10/19/2006
Last updated
09/16/2013
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