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Individual
MONAL KHANSAHEB SHAH
Active
Individual
MONAL KHANSAHEB SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62536
GA
2080P0214X
Pediatric Pulmonology Physician
62536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363160836M
—
GA
Enumeration date
12/31/2007
Last updated
09/30/2014
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