Individual
DR. RAKESH RASIKLAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 OAK FOREST CIRCLE, MARIETTA, GA 30062
(404) 697-5625
(888) 669-9073
Mailing address
4010 OAK FOREST CIR, MARIETTA, GA 30062-5253
(404) 697-5625
(888) 669-9073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36761
TN
207R00000X
Internal Medicine Physician
Primary
056220
GA
207R00000X
Internal Medicine Physician
MD2016-0649
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110234591
RAILROAD MEDICARE
TN
Enumeration date
08/15/2005
Last updated
11/19/2018
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