Individual
SHAH INAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5720 BUFORD HIGHWAY, SUITE 106, NORCROSS, GA 30071
(770) 246-1002
(770) 246-1003
Mailing address
5114 J WHITE ROAD, OAKWOOD, GA 30566-3127
(770) 297-8570
(770) 246-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00886971A
—
GA
Enumeration date
04/13/2007
Last updated
07/08/2007
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