MINAXI, LLC (NPI# 1063872372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063872372 |
| Entity Type | Organization |
| Organization Name | MINAXI, LLC |
| Practice Address |
3524 Lost Tree Ct Martinez GA 30907-9500 |
| Practice Telephone | 7062677681 |
| Mailing Telephone | 7062677681 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Authorized Official Name | HETAL THAKORE (OWNER) |
| Authorized Official Telephone | 7062677681 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | GA | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INDIVIDUAL NPI | 1821184540 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663998 | Minaxi, LLC | Internal Medicine | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2020-06-10 |
| Street Address |
3524 LOST TREE CT |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306149117 | Dr Manhiani Pllc | Internal Medicine | 1000 Secession Ct, Martinez, GA 30907-9171 | 2010-12-16 |
| 1356427884 | Kate Thamina Christensen | Internal Medicine | 246 Christie Drive, Martinez, CA 94553 | 2006-10-27 |
| 1801999180 | Shoba Battu | Internal Medicine | 589 Firestone Place, Martinez, GA 30907 | 2006-09-05 |
| 1003927062 | Saroj B. Sharma | Internal Medicine | 587 Furys Ferry Rd, Martinez, GA 30907-9059 | 2006-08-31 |
| 1992818041 | Benjamin Graham Jr. | Internal Medicine | 331 C St, Martinez, CA 94553-3137 | 2006-08-15 |
| 1104857598 | Walter J Peters | Internal Medicine | 233 Christie Dr, Martinez, CA 94553-5713 | 2006-07-05 |
| 1265483952 | Rajwinder S Manhiani | Internal Medicine | 4412 Columbia Rd, Suite 106, Martinez, GA 30907-4562 | 2006-05-15 |
| 1043296247 | Thomas Edward Gamsky | Internal Medicine | 10 Douglas Dr, Martinez, CA 94553-4077 | 2005-12-20 |
| 1700391968 | J & J Henry Medical Group | Internal Medicine | 1790 Muir Rd, Legacy Nursing and Rehab, Martinez, CA 94553 | 2017-12-11 |
| 1386904100 | Emma Claire Swan | Internal Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2012-05-26 |
| Find all providers in MARTINEZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.