Individual
SAMAD SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HENDERSON MILL RD NE STE 160, ATLANTA, GA 30345-2711
(404) 778-4889
Mailing address
2201 HENDERSON MILL RD NE STE 160, ATLANTA, GA 30345-2711
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
94333
GA
2085R0202X
Diagnostic Radiology Physician
A154744
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2013
Last updated
01/09/2023
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