SHAANAN SATISH SHETTY (NPI# 1346503810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346503810 |
| Entity Type | Individual |
| Full Name | SHAANAN SATISH SHETTY |
| Credential | MD |
| Practice Address |
1265 Upper Hembree Rd Ste 100 Roswell GA 30076-1258 |
| Practice Telephone | 7707511133 |
| Practice Fax Number | 7707517410 |
| Mailing Telephone | 7707511433 |
| Mailing Fax Number | 7707517410 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 075374 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 Dahlonega St Ste 1501, Cumming, GA 300408203 | 7708441902 | 7702053991 |
| Street Address |
1265 UPPER HEMBREE RD STE 100 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001362 | Spencer Lucile Craig | Physician Assistant | 1265 Upper Hembree Rd Ste 100, Roswell, GA 30076-1258 | 2019-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1407075880 | Marcus Brian Goodman | Dermatology | 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 | 2007-04-24 |
| 1568556017 | John C Henry | Dermatology | 207 N. Union, Suite C, Roswell, NM 88201 | 2006-10-02 |
| 1285730952 | Jack L Graham, Md, PC | Dermatology | 1600 Se Main St Ste E, Roswell, NM 88203-5423 | 2006-09-16 |
| 1902842214 | Harry R. Mccarthy Jr. | Dermatology | 600 Currin Ct, Roswell, GA 30076-3583 | 2006-06-22 |
| 1447259577 | Kenneth Mark Ellner | Dermatology | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-20 |
| 1265927230 | Jennifer Erin Millsap | Dermatology | 415 E Crossville Rd, Roswell, GA 30075-7626 | 2018-06-22 |
| 1174916365 | Alexandria Bass Glass | Dermatology | 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 | 2015-03-11 |
| 1326357799 | Eugene Sanik | Dermatology | 2500 Hospital Blvd, Suite 280, Roswell, GA 30076-4907 | 2010-10-01 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.