Individual
TINA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-2908
(404) 778-7777
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.063404
IL
207L00000X
Anesthesiology Physician
Primary
81475
GA
Other
Enumeration date
04/03/2013
Last updated
07/23/2023
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