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NPI Code Detail

MEDICARE: SHEHNAZ MAKHANI MD

MEDICARE: SHEHNAZ MAKHANI MD
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
1207Q00000XFamily Medicine Physician043694GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720088511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEHNAZ MAKHANI MD
Provider Business Mailing Address
First Line : 3758 HIGHWAY 42
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-3653
Country : US
Telephone Number : 678-561-9430
Fax Number : 770-914-1070
Provider Business Practice Location Address
First Line : 3758 HIGHWAY 42
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-3653
Country : US
Telephone Number : 678-561-9430
Fax Number : 770-914-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/21/2022

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Directions to “ SHEHNAZ MAKHANI MD” Practice Location

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