Shenila Badruddin Lallani

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

103367 Issued in GA

Practice address

1956 Freestone Way
Marietta, GA 30064-2673

Phone

(813) 766-9188

NPI assigned

Mar 18, 2019

Last updated

Aug 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arthur M. Blank Hospital, Inc.

  • Children's Hospital
  • Atlanta, GA
  • NPI 1689744450
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1790244887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 FREESTONE WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 FREESTONE WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642673",
            "telephone_number": "813-766-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Wildwood Crossings",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352116410",
            "country_code": "US",
            "telephone_number": "813-766-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALLANI",
        "first_name": "SHENILA",
        "middle_name": "BADRUDDIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "103367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Chiropractic Wellness Center, LLC
• Lakhani Vision Care, PC
• Rakeshkumar Lakhani, O.D.
• Shivapriya Lakshmana Perumal
• Alykhan Mehboob Lalani, M.D.
• Michael Lam, O.D.
• Lamar Cousins, MD D/B/a Cousin & Cantrell Internal Medicine (WellStar Cousins and Cantrell, LLC)
• Melissa JB Lamarche, D.C.
• James H Lamb, D.D.S.
• Jennifer Kolos Lambert, PA-C

• Pediatrics Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.