Individual
SHRAVAN KUMAR RENAPURKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1365 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-1013
(404) 778-4733
(404) 778-5899
Mailing address
1365 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-1013
(404) 778-4733
(404) 778-5899
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401414822
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN1856488
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0438000349
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN124014
GA
Other
Enumeration date
05/04/2010
Last updated
01/26/2026
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