| Vishal Shah, | |
|
2501 N Patterson St, Valdosta, GA 31602-1735 | |
| (229) 433-1000 | |
| Not Available |
| Full Name | Vishal Shah |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 2501 N Patterson St, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639580335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 91855 (Georgia) | Primary |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Vishal Shah, 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (215) 595-8102 | Vishal Shah, 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (229) 433-1000 |
Dr. Joe H Johnson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St, Suite 230, Valdosta, GA 31602 Phone: 229-259-4369 Fax: 229-433-6513 | |
Dr. Mark A Corbitt, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 104 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0300 Fax: 229-333-0962 |