Individual
SHASHI PODDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(404) 686-6382
(404) 778-5495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051413
GA
208M00000X
Hospitalist Physician
Primary
051413
GA
Other
Enumeration date
07/20/2006
Last updated
03/02/2023
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