Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT196539 | PA |
N | 208600000X | Surgeon | MT196539 | PA |
Y | 2086X0206X | Surgical Oncologist | 072670 | GA |
NPI | 1063701746 |
---|---|
Provider Name | Dr. Mihir Maheshkumar Shah |
First Address | Atlanta, GA 30342-1701 |
Second Address | Atlanta, GA 30342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 27/05/2018 |