Provider Demographics
NPI:1861545758
Name:SHEELVANTH, HEMA V (MD)
Entity type:Individual
Prefix:
First Name:HEMA
Middle Name:V
Last Name:SHEELVANTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEMA
Other - Middle Name:V
Other - Last Name:ASHWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRN
Mailing Address - Street 1:55 WHITCHER ST NE STE 460
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1171
Mailing Address - Country:US
Mailing Address - Phone:770-427-7389
Mailing Address - Fax:770-427-1492
Practice Address - Street 1:55 WHITCHER ST NE STE 460
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1171
Practice Address - Country:US
Practice Address - Phone:770-427-7389
Practice Address - Fax:770-427-1492
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-291744163W00000X
IL209-005362367500000X
GA83544207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No163W00000XNursing Service ProvidersRegistered Nurse
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK23669Medicare ID - Type Unspecified