EASTSIDE ENDOCRINE PC NPI 1811184245

NPI Information

  • NPI: 1811184245
  • Provider Name: EASTSIDE ENDOCRINE, PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 1600 MEDICAL WAY
    SUITE200
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 979-7466

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NPI Details

EASTSIDE ENDOCRINE, PC is an endocrinology and diabetes and metabolism internal medicine in Snellville, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. EASTSIDE ENDOCRINE, PC NPI is 1811184245. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 MEDICAL WAY
SUITE200
SNELLVILLE, GA
ZIP 30078
Phone: (770) 979-7466
Fax: (770) 979-7455

The provider's authorized official is Naland P. Shenoy .
The authorized official title is President and has the following contact phone number (770) 979-7466.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/19/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism053165GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP5151OTHERGEORGIAMEDICARE GROUP

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: 11/21/2025

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