Individual
DR. SHAAN HEMANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000
Mailing address
2465 RED WINE OAK DR, BRASELTON, GA 30517-7014
(215) 840-4975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT191658
PA
2085R0202X
Diagnostic Radiology Physician
240138
MA
2085R0202X
Diagnostic Radiology Physician
Primary
73224
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156534C
—
GA
Enumeration date
06/25/2007
Last updated
01/12/2026
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