| Shubhang Mazumdar MD | |
|
2550 Windy Hill Rd Se Ste 309 Marietta GA 30067-8655 | |
| (770) 951-1565 | |
| (770) 988-0563 |
| Full Name | Shubhang Mazumdar MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 2550 Windy Hill Rd Se Ste 309, Marietta, Georgia |
| Authorized Official Name and Position | Helen Chang (BILLING PERSON) |
| Authorized Official Contact | 7709522048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shubhang Mazumdar MD 2550 Windy Hill Rd Se Ste 309 Marietta GA 30067-8655 Ph: (770) 951-1565 | Shubhang Mazumdar MD 2550 Windy Hill Rd Se Ste 309 Marietta GA 30067-8655 Ph: (770) 951-1565 |
| NPI Number | 1477608016 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477608016 | NPI | - | NPPES |
| GRP2975 | Other | GA | MEDICARE GROUP NUMBER |
| 00266791C | Medicaid | GA | |
| DD5386 | Other | GA | RAILROAD MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19297 (Georgia) | Primary |
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