Individual
DR. SANTOSH SHANMUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101269085
GA
208800000X
Urology Physician
0101269085
VA
208800000X
Urology Physician
Primary
103003
GA
Other
Enumeration date
03/01/2018
Last updated
01/14/2026
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