Individual
NIKHIL S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
780 CANTON RD NE STE 328, MARIETTA, GA 30060-7289
(943) 610-0145
Mailing address
2106 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-9345
(423) 760-4360
(423) 760-4367
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
100040
GA
207RG0100X
Gastroenterology Physician
36425
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3875889
—
TN
Enumeration date
09/07/2005
Last updated
04/17/2025
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