Individual
DR. CHANDRESH B. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2615 E WEST CONNECTOR, AUSTELL, GA 30106-6848
(770) 941-0010
Mailing address
4300 MILLSIDE CT SE, SMYRNA, GA 30080-6396
(770) 333-8657
(770) 333-6230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619594C
—
GA
Enumeration date
11/14/2006
Last updated
01/07/2022
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