Individual
DR. KIRTI K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
027248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303069C
—
GA
05
—
00303069H
—
GA
01
—
390002084
RAILROAD MEDICARE
—
Enumeration date
06/16/2005
Last updated
10/25/2007
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