Individual
MR. KAUSHIK SUKHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HAWTHORNE AVE, SUITE M, ATHENS, GA 30606
(706) 548-8010
(706) 548-8068
Mailing address
1000 HAWTHORNE AVE, SUITE M, ATHENS, GA 30606
(706) 548-8010
(706) 548-8068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
023225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000237839B
—
GA
Enumeration date
10/18/2006
Last updated
03/07/2023
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