Individual
SHUVRO DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 252-5206
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4686
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
82744
GA
Other
Enumeration date
05/08/2012
Last updated
05/16/2019
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