Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Urology Institute of Georgia, LLC

Organization Urology Physician · NPI 1295382778

Advanced Urology Institute of Georgia, LLC provides Urology Physician services in Marietta, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1371 Church Street Ext NE Ste 200
Marietta, GA 30060-7913
Phone: (678) 344-8900
Fax: (678) 666-5201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1295382778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beemal Shah — Ceo · (706) 951-8657
NPI enumeratedAugust 20, 2019
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address1551 Janmar Rd, Snellville, GA 30078-5606

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