Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 057297 | GA |
N | 207X00000X | Orthopaedic Surgeon | 43955 | WI |
Y | 2086S0105X | Surgery of the Hand | 057297 | GA |
NPI | 1639120702 |
---|---|
Provider Name | Dr. Snehal C Dalal |
First Address | Atlanta, GA 30339-3035 |
Second Address | Johns Creek, GA 30097-1828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 06/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
837496068A | (05) | GA |
837496068B | (05) | GA |
I36616 | (02) | |
N356109 | WELLCARE MEDICAID (01) | GA |