Individual
DR. SHAANTA A. HANAGUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 CRESCENT CENTER PKWY, TUCKER, GA 30084-7047
(770) 496-3626
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056456
GA
207Q00000X
Family Medicine Physician
MD-11650
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0230270
HMSA BILLING NUMBER
HI
05
—
501975-05
—
HI
Enumeration date
10/03/2006
Last updated
01/07/2022
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