SearchGeorgia1223G0001X

Pravin Shah

NPI 1922811637 · on the registry since 2025

Practice

Address
175 Country Club Dr Bldg 300b
Stockbridge, GA 30281
Phone
(678) 565-9452
Organisation at this address
360 Urology
360 Surgical, Llc
Atlanta Psychotherapy
Atlanta Psychotherapy
Atlanta Psychotherapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia