Shah, Purvi Shaan

Shah, Purvi Shaan is an individual health care provider with primary practice located at 590 S Enota Dr Ne Ste 1 , Gainesville GA 30501-2433. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Shah, Purvi Shaan can be contacted via phone (470) 252-5756.

Contact Information

Primary practice address
590 S Enota Dr Ne Ste 1 Gainesville GA 30501-2433
Phone: (470) 252-5756
Fax: (470) 252-5756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001208 Georgia

Profile Details

NPI number 1215164942
LBN Legal business name Shah, Purvi Shaan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2009
Last updated Dec 18th, 2017 - about 8 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 1215164942 NPPES
Georgia MEDICAID 003127399B

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