Khanwani, Shyam L

Khanwani, Shyam L is an individual health care provider with primary practice located at 132 Old Norton Rd Ste 200 , Fayetteville GA 30215-4873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Khanwani, Shyam L can be contacted via phone (678) 817-1117.

Contact Information

Primary practice address
132 Old Norton Rd Ste 200 Fayetteville GA 30215-4873
Phone: (678) 817-1117
Fax: (678) 817-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 051672 Georgia

Profile Details

NPI number 1184602856
LBN Legal business name Khanwani, Shyam L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 1st, 2020 - about 5 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 1184602856 NPPES
Georgia MEDICAID 000961925B

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