Amdur, Shira

Amdur, Shira is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Amdur, Shira can be contacted via phone (770) 793-7899.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106
Phone: (770) 793-7899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q5963 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X Q5963 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 82667 Georgia

Profile Details

NPI number 1467728345
LBN Legal business name Amdur, Shira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Oct 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467728345 NPPES
Texas MEDICAID 363246501

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