Shah, Monal Khansaheb
Shah, Monal Khansaheb is an individual health care provider with primary practice located at 3030 Old Atlanta Rd Ste 500, Cumming GA 30041-6939. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shah, Monal Khansaheb can be contacted via phone (770) 203-2000.Contact Information
Primary practice address
3030 Old Atlanta Rd Ste 500
Cumming GA 30041-6939
Phone: (770) 203-2000
Fax: (770) 886-7903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 62536 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 62536 | Georgia |
Profile Details
| NPI number | 1811172570 |
|---|---|
| LBN Legal business name | Shah, Monal Khansaheb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Sep 30th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811172570 | NPPES |
| Georgia | MEDICAID | 363160836M |
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