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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANTHAN PENDEM, MD

Active

SHANTHAN PENDEM, MD is a Critical Care Medicine healthcare provider located in BRASELTON, Georgia. NPI 1659425817 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · BRASELTON, GA

Registration Details

NPI Number
1659425817
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2007 (19.569396281871 yrs)
Last Updated
Oct 13, 2020
Licenses
9882 (ND)
68271 (GA)

Practice Information

Address
1400 RIVER PL
BRASELTON, GA, 305175600
Browse GA providers · Browse ZIP 30517
Phone
7708488000
Fax
7708488601
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in BRASELTON, GA

Name Credential NPI
PRASAD S GARIMELLA MD 1770568792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.