Individual
DR. MANISH D SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, 9TH FLOOR, SUITE 4400, ATLANTA, GA 30308-2208
(404) 686-1850
(404) 686-4699
Mailing address
550 PEACHTREE ST NE, 9TH FLOOR, SUITE 4400, ATLANTA, GA 30308-2208
(404) 686-1850
(404) 686-4699
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
065373
GA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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