Individual
SHIFA ALI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1290 OLD PEACHTREE RD APT 4101, DULUTH, GA 30097-5326
(678) 677-1999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN283970
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN283970
GA
Other
Enumeration date
02/07/2024
Last updated
10/16/2025
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