DR. RAVI SURESH SHAH (NPI# 1215381710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215381710 |
| Entity Type | Individual |
| Full Name | DR. RAVI SURESH SHAH |
| Credential | M.D. |
| Practice Address |
1235 Indian Trail Lilburn Rd Norcross GA 30093-5524 |
| Mailing Address |
Po Box 1553 Duluth GA 30096-0027 |
| Practice Telephone | 7709311333 |
| Mailing Telephone | 7709311333 |
| Mailing Fax Number | 7709313111 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 83366 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339555 | Ravi Gaurang Shah | Student in an Organized Health Care Education/Training Program | 171 Lake Ave, Colonia, NJ 07067-1354 | 2019-04-08 |
| 1669733507 | Ravi B Shah | Physical Therapist | 9 Floyd St, Jersey City, NJ 07306-3509 | 2012-06-07 |
| 1316204340 | Ravi Navin Shah | Psychiatry & Neurology | 3 Columbus Cir Ste 1430, New York, NY 10019-8723 | 2012-04-16 |
| 1013999895 | Ravi C Shah | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2005-11-16 |
| 1396209383 | Ravi Shah | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-01-24 |
| 1891291720 | Ravi Sanjay Shah | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-03-31 |
| 1053812263 | Ravi Yatin Shah | Pharmacist | 7800 Old Redwood Hwy, Cotati, CA 94931-5106 | 2018-02-22 |
| 1841722964 | Ravi Shah | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Suny At Stony Brook, Department of Anesthesiology, Stony Brook, NY 11794-8480 | 2017-03-29 |
| 1326579103 | Ravi Shah | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2017-03-23 |
| 1386175305 | Ravi J Shah | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2017-03-22 |
| Street Address |
1235 INDIAN TRAIL LILBURN RD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629097472 | Suresh Hirji Shah | Family Medicine | 1235 Indian Trail Lilburn Rd, Norcross, GA 30093-4502 | 2006-07-19 |
| 1467826347 | Sonia Varghese | Nurse Practitioner | 1235 Indian Trail Lilburn Rd, Norcross, GA 30093-5524 | 2015-11-16 |
| 1659444073 | Afshan Syeda Shahana Bintory | Dentist | 1235 Indian Trail Lilburn Rd, Suite# 300, Norcross, GA 30093-5524 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1902162852 | Tln LLC | Internal Medicine | 5874 Fulton Cir, Norcross, GA 30093-4004 | 2012-04-04 |
| 1790071926 | Syed Riazuddin Baber | Internal Medicine | 4161 Steve Reynolds Blvd, Suite 101, Norcross, GA 30093-3060 | 2011-06-27 |
| 1437393873 | Abdul Mannan Chaudhry | Internal Medicine | 5808 Norfolk Chase Rd, Norcross, GA 30092-3518 | 2009-04-29 |
| 1821293366 | Hamid V. Tehrani | Internal Medicine | 5955 Jimmy Carter Blvd Ste 40, Norcross, GA 30071-4608 | 2007-06-15 |
| 1235341454 | Precision Medical Clinic Inc | Internal Medicine | 3453 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-3128 | 2007-05-03 |
| 1265656789 | Shah Inayat | Internal Medicine | 5720 Buford Highway, Suite 106, Norcross, GA 30071 | 2007-04-13 |
| 1043282163 | Sunit Singhal | Internal Medicine | 5075 Peachtree Pkwy, Suite 106, Norcross, GA 30092-6508 | 2006-02-02 |
| 1891786497 | Galina Vayner | Internal Medicine | 6330 Primrose Hill Ct, Norcross, GA 30092-4544 | 2005-11-02 |
| 1861486094 | Paul Huydao Nguyen | Internal Medicine | 5456 Jimmy Carter Blvd, Suite 240, Norcross, GA 30093-1511 | 2005-09-02 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.