Individual
DR. SHADY MOUNIR ELDAIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOHNSON FY RD NE, STE. 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Mailing address
960 JOHNSON FY RD NE, STE. 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
066029
GA
Other
Enumeration date
12/20/2007
Last updated
10/19/2020
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