Healthcare Provider Details

I. General information

NPI: 1629226782
Provider Name (Legal Business Name): SWETANGI D BHALEEYA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SWETANGIBEN D BHALEEYA M. D.

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5995 BARFIELD RD
SANDY SPRINGS GA
30328-4411
US

IV. Provider business mailing address

5901A PEACHTREE DUNWOODY RD STE 500
SANDY SPRINGS GA
30328-5341
US

V. Phone/Fax

Practice location:
  • Phone: 678-781-7373
  • Fax:
Mailing address:
  • Phone: 678-781-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number113142
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME 110270
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number113142
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: