Individual
DR. ANAND MAHESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0009155
DE
208M00000X
Hospitalist Physician
Primary
064461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I116278
MEDICARE
GA
05
—
854265512D
—
GA
01
—
C10009155
LICENSE
DE
Enumeration date
09/10/2009
Last updated
08/17/2020
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