Individual
SHAILESH GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1814 LAKEFIELD CT SE STE A, CONYERS, GA 30013-1776
(770) 277-7195
(888) 747-9242
Mailing address
6555 SUGARLOAF PKWY # 258-307, DULUTH, GA 30097-4930
(770) 277-7195
(888) 747-9242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C53284
CA
2084P0804X
Child & Adolescent Psychiatry Physician
034139
GA
2084P0804X
Child & Adolescent Psychiatry Physician
C53284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000494711B
—
GA
Enumeration date
03/03/2008
Last updated
07/10/2025
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