Hanagud, Shaanta A.

Hanagud, Shaanta A. is an individual health care provider with primary practice located at 200 Crescent Center Pkwy , Tucker GA 30084-7047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hanagud, Shaanta A. can be contacted via phone (770) 496-3626.

Contact Information

Primary practice address
200 Crescent Center Pkwy Tucker GA 30084-7047
Phone: (770) 496-3626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-11650 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056456 Georgia

Profile Details

NPI number 1386738987
LBN Legal business name Hanagud, Shaanta A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386738987 NPPES
Hawaii MEDICAID 501975-05
Hawaii Other 00C0230270

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