Individual
DR. RAVI SURESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 INDIAN TRAIL LILBURN RD, NORCROSS, GA 30093-5524
(770) 931-1333
Mailing address
PO BOX 1553, DULUTH, GA 30096-0027
(770) 931-1333
(770) 931-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83366
GA
Other
Enumeration date
04/20/2016
Last updated
06/18/2019
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