| Mobin Shah Inc | |
|
352 Langshire Dr Mcdonough GA 30253-8055 | |
| (256) 457-4618 | |
| Not Available |
| Full Name | Mobin Shah Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 352 Langshire Dr, Mcdonough, Georgia |
| Authorized Official Name and Position | Mobin Shah (OWNER) |
| Authorized Official Contact | 2564574618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobin Shah Inc 352 Langshire Dr Mcdonough GA 30253-8055 Ph: (256) 457-4618 | Mobin Shah Inc 352 Langshire Dr Mcdonough GA 30253-8055 Ph: (256) 457-4618 |
| NPI Number | 1780194183 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 11/13/2017 |
| Medicare PECOS PAC ID | 1557629110 |
|---|---|
| Medicare Enrollment ID | O20180103002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780194183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Mobin Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932319613 PECOS PAC ID: 3870649981 Enrollment ID: I20110112000649 |
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