Healthcare Provider Details
I. General information
NPI: 1548513211
Provider Name (Legal Business Name): SALVEO INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2012
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 GWINNETT DR
LAWRENCEVILLE GA
30046-5629
US
IV. Provider business mailing address
PO BOX 263
LAWRENCEVILLE GA
30046
US
V. Phone/Fax
- Phone: 770-910-9196
- Fax: 770-910-9197
- Phone: 678-333-5396
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 53239 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHAHZAD
HASHMI
Title or Position: CMO
Credential: MD
Phone: 770-910-9196