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Individual

HETAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3535 ROSWELL RD, SUITE 54, MARIETTA, GA 30062-8826
(404) 943-1979
(678) 741-2140
Mailing address
83 MOUNT VERNON CIR, ATLANTA, GA 30338-5435
(404) 580-3509

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22224
WV
208000000X
Pediatrics Physician
36348
IA
208000000X
Pediatrics Physician
Primary
58641
GA

Other

Enumeration date
08/05/2006
Last updated
09/14/2010
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