SHREE YAMUNA MAHARANIJIPC NPI 1922553023

NPI Information

  • NPI: 1922553023
  • Provider Name: SHREE YAMUNA MAHARANIJI,PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: COBB MEDICAL CLINIC
  • CLIA Number: 11D2103757
  • Address: 2615 E WEST CONNECTOR STE 106
    AUSTELL, GA
    ZIP 30106
  • Phone: (770) 941-0010

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NPI Details

SHREE YAMUNA MAHARANIJI,PC is a clinic center in Austell, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHREE YAMUNA MAHARANIJI,PC NPI is 1922553023. The provider is registered as an organization entity type.
The provider Is Doing Business As Cobb Medical Clinic.

The provider's business location address is:

2615 E WEST CONNECTOR STE 106
AUSTELL, GA
ZIP 30106-848
Phone: (770) 941-0010
Fax: (770) 941-0154

The provider's authorized official is Chandresh B Shah .
The authorized official title is Owner and has the following contact phone number (770) 941-0010.

The CLIA number assigned to this NPI record is 11D2103757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 1/20/2022.

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
1261Q00000XClinic/Center038955GEORGIAYes

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: 3/30/2025

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