Individual
DR. SHANA KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3886 PRINCETON LAKES WAY SW STE 240, ATLANTA, GA 30331-5511
(678) 593-1280
(678) 593-1290
Mailing address
3886 PRINCETON LAKES WAY SW STE 240, ATLANTA, GA 30331-5511
(678) 593-1280
(678) 593-1290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.070937
IL
207RG0100X
Gastroenterology Physician
Primary
101186
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/30/2024
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