Individual
ANAND T SHANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(770) 389-3739
(770) 389-6565
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
050677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972804A
—
GA
01
—
340020189
RAILROAD MEDICARE
GA
Enumeration date
08/06/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us