Individual
NITYA NAIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322-0001
(404) 727-5765
(404) 727-3236
Mailing address
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322-0001
(404) 727-5765
(404) 727-3236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.131112
OH
208000000X
Pediatrics Physician
82714
GA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
82714
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
82714
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/15/2014
Last updated
10/02/2023
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