Individual
MANISH GIRISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 FOUNDERS LAKE DR, ATHENS, GA 30606-7645
(706) 495-9897
Mailing address
1231 FOUNDERS LAKE DR, ATHENS, GA 30606-7645
(706) 495-9897
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
069708
GA
2085R0202X
Diagnostic Radiology Physician
099200
OH
Other
Enumeration date
06/07/2007
Last updated
12/27/2013
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