Individual
MANAN B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 COLLIER RD NW, SUITE 4085, ATLANTA, GA 30309-1796
(404) 355-3200
(404) 355-9819
Mailing address
95 COLLIER RD NW, SUITE 475, ATLANTA, GA 30309-1796
(404) 355-3200
(404) 355-9819
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
065613
GA
207RG0100X
Gastroenterology Physician
247546
NY
Other
Enumeration date
10/02/2007
Last updated
06/22/2011
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