Individual
CHIRIYANKANDATH SIMON SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
031828
GA
2084P0800X
Psychiatry Physician
Primary
31828
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788895A
—
GA
05
—
G31828
—
SC
Enumeration date
08/31/2006
Last updated
05/11/2026
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