Individual
DR. SHAILESH RAM BASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5669 PEACHTREE DUNWOODY RD STE 240, ATLANTA, GA 30342-1719
(404) 410-3970
Mailing address
5669 PEACHTREE DUNWOODY RD STE 240, ATLANTA, GA 30342-1719
(404) 410-3970
(404) 844-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071094A
IN
207R00000X
Internal Medicine Physician
84952
GA
207RN0300X
Nephrology Physician
01071094A
IN
207RN0300X
Nephrology Physician
Primary
84952
GA
Other
Enumeration date
08/01/2007
Last updated
02/15/2022
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