Shah, Kirti K

Shah, Kirti K is an individual health care provider with primary practice located at 605 Old Norcross Rd , Lawrenceville GA 30045-4315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shah, Kirti K can be contacted via phone (770) 962-1231.

Contact Information

Primary practice address
605 Old Norcross Rd Lawrenceville GA 30045-4315
Fax: (770) 513-2107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 027248 Georgia

Profile Details

NPI number 1700881612
LBN Legal business name Shah, Kirti K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 25th, 2007 - about 17 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 1700881612 NPPES
Georgia MEDICAID 00303069C
Georgia MEDICAID 00303069H
Georgia Other 390002084

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