Individual
DR. SHASHVAT SUKHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300
Mailing address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059106
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-134513
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
99179
GA
207RP1001X
Pulmonary Disease Physician
036-134513
IL
207RP1001X
Pulmonary Disease Physician
Primary
99179
GA
Other
Enumeration date
07/16/2011
Last updated
06/27/2025
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