Individual
MRS. KARUNA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5211 HIGHWAY 278 NE, COVINGTON, GA 30014-2671
(770) 787-8200
(770) 787-8228
Mailing address
1752 BROCKETT ROAD, TUCKER, GA 30084
(770) 787-8200
(770) 787-8228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
043773
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00764497E
—
GA
Enumeration date
07/28/2006
Last updated
10/11/2012
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