Individual
DEEP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1289 SCENIC HWY, LAWRENCEVILLE, GA 30045-6358
(770) 972-9000
(770) 736-0556
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
073484
GA
Other
Enumeration date
04/17/2013
Last updated
01/14/2023
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