Individual
DR. KAIRAV SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7444 HANNOVER PKWY S STE 210, STOCKBRIDGE, GA 30281-7847
(770) 741-1750
(770) 741-1755
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 654-4201
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
81208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011920900
—
FL
Enumeration date
07/17/2008
Last updated
09/19/2018
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