Shah, Mahendra Ratilal

Shah, Mahendra Ratilal is an individual health care provider with primary practice located at 227 Scenic Hwy Suite A, Lawrenceville GA 30045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shah, Mahendra Ratilal can be contacted via phone (770) 513-7666.

Contact Information

Primary practice address
227 Scenic Hwy Suite A Lawrenceville GA 30045
Fax: (770) 513-1093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 034466 Georgia

Profile Details

NPI number 1326122367
LBN Legal business name Shah, Mahendra Ratilal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Sep 25th, 2023 - about last year

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 1326122367 NPPES
Georgia MEDICAID 00525962D

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