Individual
PURVI SHAAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
590 S ENOTA DR NE STE 1, GAINESVILLE, GA 30501-2433
(470) 252-5756
(470) 252-5756
Mailing address
590 S ENOTA DR NE, GAINESVILLE, GA 30501-2433
(770) 418-0456
(770) 418-1603
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127399B
—
GA
Enumeration date
06/21/2009
Last updated
12/18/2017
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