Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shangeetha Balakumar, MD

Individual provider Family Medicine Physician · NPI 1720116452

Shangeetha Balakumar, MD is a Geriatric Medicine in Marietta, Georgia. Qualified in 2005, 21 years ago. Works from 2 locations. Licensed in Colorado, Florida, Georgia and South Carolina and 1 more.

Years since qualifying
21
Licensed in
CO, FL, GA, SC, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

280 Cobb Pkwy S Ste 60
Marietta, GA 30060-6531
Phone: (678) 820-7373
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 — (727) 824-0780

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 83851 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61603067 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0073998 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL28993 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME105139 (FL)

Record details

NPI number1720116452
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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