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Individual

DR. SHRENIK PANKAJ SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3885 PRINCETON LAKES WAY SW STE 314, ATLANTA, GA 30331-7100
(404) 349-7770
(404) 349-7779
Mailing address
220 5TH AVE, DECATUR, GA 30030-4810
(781) 413-1186

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
077245
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
077245
GA

Other

Enumeration date
03/09/2009
Last updated
08/22/2019
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