Provider Demographics
NPI:1346018991
Name:SHAILI ARJUN
Entity type:Organization
Organization Name:SHAILI ARJUN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIDAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-460-8574
Mailing Address - Street 1:5871 GLENRIDGE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5304
Mailing Address - Country:US
Mailing Address - Phone:404-480-4486
Mailing Address - Fax:404-446-9342
Practice Address - Street 1:5871 GLENRIDGE DR STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5304
Practice Address - Country:US
Practice Address - Phone:404-480-4486
Practice Address - Fax:404-446-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty