Organization
KIRITKUMAR J. SHAH, M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRITKUMAR JIVANLAL SHAH M.D. (PRESIDENT)
(770) 948-8600
Entity
Organization
Contact information
Practice address
6360 MABLETON PKWY SW, MABLETON, GA 30126-5210
(770) 948-8600
(770) 944-7900
Mailing address
6360 MABLETON PKWY SW, MABLETON, GA 30126-5210
(770) 948-8600
(770) 944-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246287A
—
GA
Enumeration date
08/26/2011
Last updated
08/26/2011
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