SOUMYA SHIVASHANKAR

AUGUSTA, GA
NPI1881155588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  97356)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301508296)
208M00000X Hospitalist
(Licence: GA  97356)
Enumeration Date2019-03-26
Last Update Date2024-05-23
Business Address
Dr. SOUMYA SHIVASHANKAR MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-774-5795
Mailing Address
Dr. SOUMYA SHIVASHANKAR MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: