Individual
SHALINI KANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1790 MULKEY RD, SUITE 7, AUSTELL, GA 30106-1122
(770) 819-1435
(770) 819-3946
Mailing address
1790 MULKEY RD, SUITE 7, AUSTELL, GA 30106-1122
(770) 819-1435
(770) 819-3946
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
239802
NY
Other
Enumeration date
04/20/2006
Last updated
07/01/2011
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