Provider Demographics
NPI:1053754895
Name:PARAS INTEGRATED HEALTH, PC
Entity type:Organization
Organization Name:PARAS INTEGRATED HEALTH, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANTHALAXMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:IYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-662-2201
Mailing Address - Street 1:102 VINCENT AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5049
Mailing Address - Country:US
Mailing Address - Phone:404-662-2201
Mailing Address - Fax:404-662-2204
Practice Address - Street 1:102 VINCENT AVE
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5049
Practice Address - Country:US
Practice Address - Phone:404-662-2201
Practice Address - Fax:404-662-2204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFESTYLE CENTERMD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-11
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA518362083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty