Individual
SHANE RAVI MAHABIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
445 WINN WAY FL 2, DECATUR, GA 30030-1707
(404) 294-3836
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 892-4646
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
102892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073000337
—
GA
Enumeration date
04/21/2018
Last updated
11/06/2025
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