| Doctor Name: | DR. AMIT JASVANT SHAH |
| NPI Number: | 1366681843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 62770 |
| Business Practice Address: | 80 Jesse Hill Jr Dr Se Cardiology Adult Clinic, 2nd Floor Atlanta, GA - 303033031 |
| Business Phone Number: | 4046164425 |
| Business Fax Number: | 8885304683 |
| Mailing Address: | 80 Jesse Hill Jr Dr Se, Cardiology Adult Clinic, 2nd Floor ATLANTA |
| State: | GA |
| Postal Code: | 303033031 |
| Phone Number: | 4046164425 |
| Fax Number: | 8885304683 |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | 62770 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |