Individual
DR. SHASHANK CHANDULAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5245 BUFORD HWY, NORCROSS, GA 30071-2621
(770) 447-5551
(770) 447-9521
Mailing address
5245 BUFORD HWY, NORCROSS, GA 30071-2621
(770) 447-5551
(770) 447-9521
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
12628
AL
207RP1001X
Pulmonary Disease Physician
Primary
29510
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136983098C
—
GA
Enumeration date
05/12/2006
Last updated
05/08/2023
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