Individual
DR. HEERAIN ASHOK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SATELLITE BLVD NW BLDG 400, SUWANEE, GA 30024-4651
(678) 263-3080
(678) 496-9863
Mailing address
1325 SATELLITE BLVD NW BLDG 400, SUWANEE, GA 30024-4651
(678) 263-3080
(678) 496-9863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
059016
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
59016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023-02697
STATE LICENSE
NC
01
—
59016
STATE LICENSE
GA
01
—
V1986
STATE LICENSE
TX
Enumeration date
04/20/2007
Last updated
05/14/2025
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