Individual
SHASHIKANT A DAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3305 BOBBY BROWN PKWY, EAST POINT, GA 30344-5012
(404) 806-8181
(770) 456-5469
Mailing address
3305 BOBBY BROWN PKWY, EAST POINT, GA 30344-5012
(404) 806-8181
(770) 456-5469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037520
GA
207Q00000X
Family Medicine Physician
GA037520
GA
207QA0505X
Adult Medicine Physician
037520
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
037520
GA
207U00000X
Nuclear Medicine Physician
GA037520
GA
207UN0901X
Nuclear Cardiology Physician
037520
GA
207UN0901X
Nuclear Cardiology Physician
GA037520
GA
207UN0902X
Nuclear Imaging & Therapy Physician
037520
GA
207UN0902X
Nuclear Imaging & Therapy Physician
GA037520
GA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
GA037520
GA
2083X0100X
Occupational Medicine Physician
037520
GA
2085N0904X
Nuclear Radiology Physician
037520
GA
261QM1300X
Multi-Specialty Clinic/Center
037520
GA
261QR0200X
Radiology Clinic/Center
037520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360335904B
—
GA
01
—
GRP7052
MEDICARE GROUP PIN
GA
Enumeration date
03/06/2007
Last updated
10/19/2014
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