Individual
DR. TALLAPRAGADA SHANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 ROCK QUARRY RD, SUITE 201, STOCKBRIDGE, GA 30281-5044
(678) 289-5054
(678) 565-0473
Mailing address
1365 ROCK QUARRY RD, SUITE 201, STOCKBRIDGE, GA 30281-5044
(678) 289-5054
(678) 565-0473
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
029242
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441009B
—
GA
Enumeration date
08/15/2006
Last updated
10/03/2007
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