Most Relevant Information
Provider Data
| NPI Number: | 1003379280 |
| Provider Name: | KAYLA ASHLEY SHAHBAZIAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 10805 |
Most Important Dates
| Enumeration Date: | 04/13/2019 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
1120 15TH ST
AUGUSTA
GA
309120004
Practice Location Phone/Fax
| Phone: | 7067218623 |
| Fax: | 7067211459 |
Provider Mailing Location
1120 15TH ST # OR6000
AUGUSTA
GA
309120004
Provider Mailing Phone/Fax
| Phone: | 7067213813 |
| Fax: |
Suggested EMR
Internist EMR