Individual
DR. DIVYA SARATH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 WISTERIA DR, GAINESVILLE, GA 30501-3827
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
081069
GA
2084P0800X
Psychiatry Physician
125.065221
IL
Other
Enumeration date
11/13/2014
Last updated
01/22/2021
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