Healthcare Provider Details

I. General information

NPI: 1790607729
Provider Name (Legal Business Name): SHOKA HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6667 VERNON WOODS DR STE A40
SANDY SPRINGS GA
30328-3239
US

IV. Provider business mailing address

1580 FLAT SHOALS RD SE STE C BOX #2006
ATLANTA GA
30316-2171
US

V. Phone/Fax

Practice location:
  • Phone: 714-366-2631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDEEP RAJ SABHLOK
Title or Position: CEO, CO-FOUNDER
Credential: MD
Phone: 678-235-8862