Individual
NARENDRA K. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 HAWTHORNE PARK, ATHENS, GA 30606-2148
(706) 548-0500
Mailing address
160 MANSFIELD CT, P.O. BOX 5041, ATHENS, GA 30606-3853
(706) 546-5464
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
016978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000384468
—
GA
Enumeration date
06/03/2006
Last updated
03/07/2023
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