Individual
PINANG M SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101664
GA
Other
Enumeration date
06/25/2018
Last updated
09/02/2024
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