Individual
AL HAJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(212) 746-6490
Mailing address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
776334
NY
363LA2100X
Acute Care Nurse Practitioner
248546
GA
363LF0000X
Family Nurse Practitioner
248546
NY
363LF0000X
Family Nurse Practitioner
Primary
NP248546
GA
Other
Enumeration date
09/07/2019
Last updated
04/22/2026
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