Individual
DR. SUBHADRA SHASHIDHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6352
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(817) 903-9778
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
74362
GA
Other
Enumeration date
04/10/2007
Last updated
10/13/2015
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