Individual
SHAILA NAZRUL NUPUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(347) 819-2989
Mailing address
4000 OAK FOREST CIR, MARIETTA, GA 30062-5253
(347) 819-2989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
062925
GA
208M00000X
Hospitalist Physician
Primary
062925
GA
Other
Enumeration date
07/13/2007
Last updated
10/02/2019
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