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Contact Information

SHAJIH L MUHANNA, MD
203 MEDICAL WAY
STE A
RIVERDALE, GA30274
 Phone: 770-991-1319
 Fax: 770-991-1320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SHAJIH L MUHANNA · (Male)

NPI # 1649316092
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2007
Last updated 08/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 015027
  • GA Medicaid 000073389B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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