Healthcare Provider Details

I. General information

NPI: 1730763533
Provider Name (Legal Business Name): PRITEE SHRESTHA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 HARPER ST
AUGUSTA GA
30912-0020
US

IV. Provider business mailing address

1447 HARPER ST
AUGUSTA GA
30912-0020
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-2982
  • Fax: 641-428-2515
Mailing address:
  • Phone: 706-721-2982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: