Organization
SHIVANI HEALTHCARE OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANCHSHIL M PATEL MD (ORGANIZER)
(908) 489-0888
Entity
Organization
Contact information
Practice address
4090 PINESET DR, ALPHARETTA, GA 30022-4969
(908) 489-0888
(770) 695-0400
Mailing address
4090 PINESET DR, ALPHARETTA, GA 30022-4969
(908) 489-0888
(770) 695-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60229
GA
Other
Enumeration date
01/18/2016
Last updated
01/21/2016
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