Individual
DR. SHALABH SHEEL BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5433
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65993
GA
208000000X
Pediatrics Physician
R-8273
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120349B
—
GA
05
—
003120349C
—
GA
Enumeration date
04/28/2008
Last updated
09/13/2012
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