Individual
SHALINI JAITLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
050727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925999A
—
GA
05
—
003155183A
—
GA
05
—
003155183B
—
GA
01
—
10045143
AMERIGROUP
GA
01
—
340878
WELLCARE
GA
01
—
3514521
CIGNA
GA
01
—
52887002
BCBS
GA
01
—
7600091
UNITED HEALTHCARE
GA
01
—
P00061909
RR MEDICARE-GRP # CC4177
GA
Enumeration date
01/20/2006
Last updated
07/22/2022
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