Individual
SHENILA BADRUDDIN LALLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1956 FREESTONE WAY, MARIETTA, GA 30064-2673
(813) 766-9188
Mailing address
1956 FREESTONE WAY, MARIETTA, GA 30064-2673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103367
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/02/2025
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