Organization
NORTHEAST GEORGIA PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURVI SHAAN SHAH DPM (PODIATRIST)
(470) 439-0324
Entity
Organization
Contact information
Practice address
590 S ENOTA DR NE STE 1A, GAINESVILLE, GA 30501-2433
(470) 252-5756
Mailing address
590 S ENOTA DR NE STE 1A, GAINESVILLE, GA 30501-2433
(470) 252-5756
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001208
GA
Other
Enumeration date
01/20/2017
Last updated
12/12/2025
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