Individual
MISS SHEILA MAHSA DINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE STE 1185, ATLANTA, GA 30308-2236
(404) 223-0792
(404) 223-5815
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(404) 223-0792
(404) 223-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006378
GA
363AM0700X
Medical Physician Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122889B
—
GA
05
—
003122889C
—
GA
01
—
202I972744
MEDICARE PTAN
GA
Enumeration date
01/26/2012
Last updated
08/25/2020
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