Provider Demographics
NPI:1700528460
Name:MOHAMMED, SHAJIRA SHEERIN (DPM)
Entity type:Individual
Prefix:
First Name:SHAJIRA
Middle Name:SHEERIN
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 HIGHWAY 54 W STE 205
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-4794
Mailing Address - Country:US
Mailing Address - Phone:770-716-8732
Mailing Address - Fax:770-487-1204
Practice Address - Street 1:6000 HILLANDALE DR STE 125
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4851
Practice Address - Country:US
Practice Address - Phone:770-981-9011
Practice Address - Fax:770-981-0480
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD305069213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery