Shankar, Tallapragada

Shankar, Tallapragada is an sole proprietor health care provider with primary practice located at 1365 Rock Quarry Rd Suite 201, Stockbridge GA 30281-5044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Shankar, Tallapragada can be contacted via phone (678) 289-5054.

Contact Information

Primary practice address
1365 Rock Quarry Rd Suite 201 Stockbridge GA 30281-5044
Phone: (678) 289-5054
Fax: (678) 565-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 029242 Georgia

Profile Details

NPI number 1619980810
LBN Legal business name Shankar, Tallapragada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Oct 3rd, 2007 - about 18 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 1619980810 NPPES
Georgia MEDICAID 00441009B

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