| Shuvro De, MD | |
| 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 | |
| (404) 252-5206 | |
| Not Available | 
| Full Name | Shuvro De | 
|---|---|
| Gender | Male | 
| Speciality | Urology - Pediatric Urology | 
| Location | 5730 Glenridge Dr Ste 200, Atlanta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508125865 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 82744 (Georgia) | Primary | 
| Entity Name | Georgia Urology, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shuvro De, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4686 | Shuvro De, MD 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 Ph: (404) 252-5206 | 
| Valentina Grajales, MD Urology Medicare: Medicare Enrolled Practice Location: 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342 Phone: 404-728-4211 | |
| Edwin A Smith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342 Phone: 404-252-5206 Fax: 404-252-1268 | |
| Richard N Stephens, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 20 Glenlake Parkway, Department Of Urology, Atlanta, GA 30328 Phone: 770-677-6257 Fax: 770-677-7344 | |
| Dr. Christopher Gatlin Keith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Collier Rd Nw Ste 400, Atlanta, GA 30309 Phone: 404-605-4848 | |
| Andrew Pridjian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342 Phone: 404-255-3822 Fax: 404-255-0495 | |
| Dr. William Holt Sanders, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 980 Johnson Ferry Rd Ne, Ste 490, Atlanta, GA 30342 Phone: 404-257-0133 Fax: 404-207-1337 | |
| Bruce G Green, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5673 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342 Phone: 404-255-3822 Fax: 404-255-0495 |