Healthcare Provider Details

I. General information

NPI: 1982510327
Provider Name (Legal Business Name): KIAAN SHAH INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 DUNWOODY TERRACE CV
ATLANTA GA
30338-2330
US

IV. Provider business mailing address

5005 DUNWOODY TERRACE CV
ATLANTA GA
30338-2330
US

V. Phone/Fax

Practice location:
  • Phone: 470-455-4950
  • Fax:
Mailing address:
  • Phone: 470-455-4950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PRACHI ADITYA SHAH
Title or Position: OWNER
Credential:
Phone: 470-455-4950