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NPI Code Detail

MEDICARE: DR. SHAMINA JAFFER HENKEL M.D.

MEDICARE:  DR. SHAMINA JAFFER HENKEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician45069GA
22084P0800XPsychiatry Physician45069GA

General Provider Information

NPI Number : 1003851494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAMINA JAFFER HENKEL M.D.
Provider Business Mailing Address
First Line : 3520 PIEDMONT RD NE STE 330
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1552
Country : US
Telephone Number : 404-351-2008
Fax Number : 404-785-6268
Provider Business Practice Location Address
First Line : 3520 PIEDMONT RD NE STE 330
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1552
Country : US
Telephone Number : 404-351-2008
Fax Number : 404-351-0243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 06/25/2025

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Directions to “ DR. SHAMINA JAFFER HENKEL M.D.” Practice Location

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