Shah, Nikita Gautam

Shah, Nikita Gautam is an individual health care provider with primary practice located at 4600 W Village Pl Se Ste 4007 , Smyrna GA 30080-9213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shah, Nikita Gautam can be contacted via phone (770) 438-2015.

Contact Information

Primary practice address
4600 W Village Pl Se Ste 4007 Smyrna GA 30080-9213
Phone: (770) 438-2015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 034601 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1093059677
LBN Legal business name Shah, Nikita Gautam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2012
Last updated Apr 10th, 2024 - 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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