Individual
APURVA D SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 TOWNE LAKE PKWY STE 400, WOODSTOCK, GA 30189-1604
(770) 924-5095
(770) 924-7429
Mailing address
900 TOWNE LAKE PKWY, STE 400, WOODSTOCK, GA 30189-1604
(770) 343-8565
(770) 343-8561
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
056219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575532774B
—
GA
01
—
7345666
AETNA
—
01
—
850201
BLUE CROSS BLUE SHIELD
—
01
—
9611094
CIGNA
—
Enumeration date
06/05/2006
Last updated
12/15/2020
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