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Individual

DR. SURESH HIRJI SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 INDIAN TRAIL LILBURN RD, NORCROSS, GA 30093-4502
(770) 931-1333
(770) 931-3111
Mailing address
PO BOX 1553, DULUTH, GA 30096-0027
(770) 931-1333
(770) 931-3111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033193
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00466958Q
GA
Enumeration date
07/19/2006
Last updated
10/18/2012
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