# MOBIN SHAH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780194183
- **Authorized official:** MOBIN SHAH MD (OWNER)
- **Authorized official phone:** (256) 457-4618

## Contact information

- **Practice address:** 352 LANGSHIRE DR, MCDONOUGH, GA 30253-8055
- **Practice address phone:** (256) 457-4618
- **Mailing address:** 352 LANGSHIRE DR, MCDONOUGH, GA 30253-8055
- **Mailing address phone:** (256) 457-4618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 11/13/2017