Individual
TUSHAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 793-8585
(470) 793-1970
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 793-8585
(470) 793-1970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71568
GA
208M00000X
Hospitalist Physician
Primary
71568
GA
Other
Enumeration date
06/30/2008
Last updated
09/09/2021
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