MR. Azhar S Shah, MSPT

NPI #1902085814 in Tucker, Georgia

Provider Information

NPI Number: 1902085814
Entity Type: Individual
Name: MR. Azhar S Shah, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: MSPT
Enumeration Date: Oct 26, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 1979 LAKESIDE PKWY
Address 2: STE. 250
City: Tucker
State: Georgia
ZIP Code: 30084-5935
Phone: (678) 837-1252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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