Provider Demographics
NPI:1922289370
Name:SHETH, ATEER K (MS, CNLM)
Entity Type:Individual
Prefix:MR
First Name:ATEER
Middle Name:K
Last Name:SHETH
Suffix:
Gender:M
Credentials:MS, CNLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 HIGHLANDS VW SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5223
Mailing Address - Country:US
Mailing Address - Phone:404-642-0259
Mailing Address - Fax:404-474-8545
Practice Address - Street 1:1705 HIGHLANDS VW SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-5223
Practice Address - Country:US
Practice Address - Phone:404-642-0259
Practice Address - Fax:404-474-8545
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA639246ZE0600X
2472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA639OtherABRET, CNLM