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Organization

SHUBHANG MAZUMDAR MD

Active
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Organization

SHUBHANG MAZUMDAR MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HELEN CHANG (BILLING PERSON)
(770) 952-2048
Entity
Organization

Contact information

Practice address
2550 WINDY HILL RD SE STE 309, MARIETTA, GA 30067-8655
(770) 951-1565
(770) 988-0563
Mailing address
2550 WINDY HILL RD SE STE 309, MARIETTA, GA 30067-8655
(770) 951-1565
(770) 988-0563

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19297
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00266791C
GA
01
DD5386
RAILROAD MEDICARE GROUP NUMBER
GA
01
GRP2975
MEDICARE GROUP NUMBER
GA
Enumeration date
01/24/2007
Last updated
10/27/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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