Individual
KIRITKUMAR JIVANLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6360 MABLETON PARKWAY, MABLETON, GA 30126
(770) 948-8600
(770) 944-7900
Mailing address
6360 MABLETON PARKWAY, MABLETON, GA 30126
(770) 948-8600
(770) 944-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
022637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246287A
—
GA
Enumeration date
11/28/2006
Last updated
07/08/2007
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