DR. SHALABH SHEEL BANSAL (NPI# 1508031873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031873 |
| Entity Type | Individual |
| Full Name | DR. SHALABH SHEEL BANSAL |
| Credential | M.D., M.B.A. |
| Practice Address |
5665 New Northside Dr Nw Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 7708745400 |
| Practice Fax Number | 7708745433 |
| Mailing Telephone | 7708745400 |
| Mailing Fax Number | 7708745433 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 65993 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | R-8273 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003120349B | 05 | |
| GA | 003120349C | 05 |
| Street Address |
5665 NEW NORTHSIDE DR NW SUITE 320 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649246570 | Desiree La Charite | Emergency Medicine | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2006-02-28 |
| 1174966881 | Lone Star Physician Services, Pllc | Anesthesiology | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2013-04-11 |
| 1477891554 | Kathryn Elizabeth Barbato | Nurse Anesthetist, Certified Registered | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2013-01-23 |
| 1689924839 | Timothy A. Bryan Sr. | Physician Assistant | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2012-09-14 |
| 1245516459 | Gregory Symenow | Physician Assistant | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2011-11-01 |
| 1053617571 | Ronald B. Tanaka | Emergency Medicine | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2011-01-31 |
| 1184932303 | Lindsey Nicole Ong | Anesthesiologist Assistant | 5665 New Northside Dr Nw, Ste 320, Atlanta, GA 30328-5831 | 2010-09-22 |
| 1548584055 | Christopher Michael Dawson | Nurse Practitioner | 5665 New Northside Dr Nw, Suite 300, Atlanta, GA 30328-5831 | 2010-03-26 |
| 1487896288 | Pranav Jitendra Desai | Emergency Medicine | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2009-03-26 |
| 1689820961 | Jimson Okon Smith | Emergency Medicine | 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.