Individual
SHALIN S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1457 SCOTT BLVD, DECATUR, GA 30030
(404) 292-2500
Mailing address
PO BOX 1798, DECATUR, GA 30031-1798
(404) 292-2500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
73650
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
73650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003157853B
—
GA
05
—
003159481A
—
GA
05
—
06929824
—
MS
05
—
2151355
—
LA
Enumeration date
06/02/2010
Last updated
08/13/2018
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