| Doctor Name: | MR. SAUJANYA SHAKYA |
| NPI Number: | 1235425083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | 1-111665 |
| Business Practice Address: | 6725 Deerfoot Pkwy Pinson, AL - 351263093 |
| Business Phone Number: | 2056809898 |
| Business Fax Number: | 2056803300 |
| Mailing Address: | 6725 Deerfoot Pkwy, PINSON |
| State: | AL |
| Postal Code: | 351263093 |
| Phone Number: | 2056809898 |
| Fax Number: | 2056803300 |
| NPI Enumeration Date: | 06/21/2011 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-111665 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |