Individual
DR. MANAN I SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 VISION STREET, SUITE 100, BETHLEHEM, GA 30620
(770) 868-0101
(770) 868-0151
Mailing address
14 VISION STREET, SUITE 100, BETHLEHEM, GA 30620
(770) 868-0101
(770) 868-0151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
058505
GA
Other
Enumeration date
06/28/2006
Last updated
06/25/2014
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