Individual
RITESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(770) 429-0031
(678) 819-4299
Mailing address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
057490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898151649D
—
GA
05
—
898151649E
—
GA
Enumeration date
05/06/2006
Last updated
05/11/2016
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