Healthcare Provider Details

I. General information

NPI: 1902124738
Provider Name (Legal Business Name): SHEELA LOHIYA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEELA SUBRAMANYAM M.D.

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW STE 775
ATLANTA GA
30309-1608
US

IV. Provider business mailing address

101 YORKTOWN DRIVE SUITE 100
FAYETTEVILLE GA
30214
US

V. Phone/Fax

Practice location:
  • Phone: 404-367-3210
  • Fax:
Mailing address:
  • Phone: 770-460-4285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number32621
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number079161
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: