Doctor Name: | DR. ANAND K SHAH |
NPI Number: | 1316084676 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TL-1555 |
Business Practice Address: | 5755 N Point Pkwy Ste 94 Alpharetta, GA - 300221142 |
Business Phone Number: | 4707678287 |
Business Fax Number: | 4703497674 |
Mailing Address: | 5755 N Point Pkwy, Ste 94 ALPHARETTA |
State: | GA |
Postal Code: | 300221142 |
Phone Number: | 4707678287 |
Fax Number: | 4703497674 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-1555 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |