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Sanjay Shukla, MD
NPI 1942272935 · on the registry since 2006
Practice
- Address
- 3130 Mathis Airport Pkwy
Ste. 305
Suwanee, GA 30024 - Phone
- (770) 886-7711
- Fax
- (770) 886-7698
- Organisation at this address
- Star Optometry Ga Llc
Lana L. Mamut, Dmd, Pc
Windermere Optique LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia