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General NPI Number Information
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NPI Number | 1457989618
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Entity Type | Organization
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Legal Business Name | SHIKHA SHAH, MD, LLC
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 6200 BRADLEY PARK DR
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City | COLUMBUS
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State | GA
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Zip | 31904-3078
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Country | US
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Telephone | 706-591-8080
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Fax | 888-905-2571
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Provider Business Mailing Address
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Address Line | 6200 BRADLEY PARK DR
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City | COLUMBUS
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State | GA
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Zip | 31904-3078
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Country | US
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Telephone | 706-591-8080
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Fax | 888-905-2571
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Authorized Official
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Title or Position | OWNER
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Name | SHIKHA SHAH
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Credential | MD
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Telephone | 706-591-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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