Advanced Urology Institute Of Georgia, LLC
Urology in Marietta, GA. Organization (NPI-2).
NPI number1295382778
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1295382778
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Urology Institute Of Georgia, LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
1371 Church Street Ext Ne Ste 200Marietta, GA 30060-7913
Phone 678-344-8900 · Fax 678-666-5201
Mailing address
1551 Janmar RdSnellville, GA 30078-5606
Phone 678-344-8900 · Fax 678-666-5201
Authorized official
Beemal Shah
Ceo
7069518657
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