Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 86531 | GA |
NPI | 1144343708 |
---|---|
Provider Name | Dr. Shalabh Chandra |
First Address | Atlanta, GA 30374-2616 |
Second Address | Gainesville, GA 30501-3473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/12/2020 |