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SHUBHANG MAZUMDAR MD NPI 1477608016


NPI Information

NPI: 1477608016
Provider Name: SHUBHANG MAZUMDAR MD
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2550 WINDY HILL RD SE STE 309
MARIETTA, GA
ZIP 30067
Phone: (770) 951-1565
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SHUBHANG MAZUMDAR MD is an internal medicine in Marietta, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHUBHANG MAZUMDAR MD NPI is 1477608016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2550 WINDY HILL RD SE STE 309
MARIETTA, GA
ZIP 30067-655
Phone: (770) 951-1565
Fax: (770) 988-0563

The provider's authorized official is Helen Chang .
The authorized official title is Billing Person and has the following contact phone number (770) 952-2048.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 10/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine19297GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D30163MEDICARE UPINGEORGIA
2Z139267MEDICARE PINARIZONA
3GRP2975OTHERGEORGIAMEDICARE GROUP NUMBER
4DD5386OTHERGEORGIARAILROAD MEDICARE GROUP NUMBER
5107563911BMEDICARE ID-TYPE UNSPECIFIEDGEORGIAPROVIDER NUMBER
600266791CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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