Individual
MS. NISHA NARAYAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ATLANTA VAMC, 1670 CLAIRMONT ROAD, MHSL #116, DECATUR, GA 30033
(404) 321-6111
Mailing address
ATLANTA VAMC, 1670 CLAIRMONT ROAD, MHSL #116, DECATUR, GA 30033
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68616
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2009
Last updated
06/25/2013
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