Individual
MEGHA KUMUDCHANDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-9908
Mailing address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-9908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72799
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2009
Last updated
09/25/2015
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