Individual
DR. SHAHEEN P NOORANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1210 BROADRICK DR, SUITE 1, DALTON, GA 30720-2676
(706) 277-4799
(706) 277-5054
Mailing address
1210 BROADRICK DR, SUITE 1, DALTON, GA 30720-2676
(706) 277-4799
(706) 277-5054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042678
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744906C
—
GA
Enumeration date
11/01/2005
Last updated
09/30/2011
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