Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 71280 | GA |
NPI | 1003076001 |
---|---|
Provider Name | Dr. Shonali Saha |
First Address | Smyrna, GA 30082-5166 |
Second Address | Smyrna, GA 30082-5166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 12/05/2016 |