Individual
FAUZIA RAFAT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, NORTHSIDE HOSPITAL, ATLANTA, GA 30342-1606
(404) 365-0966
(920) 797-3753
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(920) 497-3753
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
061518
GA
208M00000X
Hospitalist Physician
46476
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34474900
—
WI
Enumeration date
07/11/2006
Last updated
01/07/2022
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