IndividualActive
Shuvro De, MD
NPI 1508125865 · Pediatric Urology Physician · Atlanta, GA
Provider details
- NPI number
- 1508125865
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 82744 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5730 Glenridge Dr Ste 200
Atlanta, GA 30328-5579
Phone: (404) 252-5206
Approximate (ZIP-level) locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2012-05-08
- Last updated
- 2019-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.