DR. SURESH HIRJI SHAH (NPI# 1629097472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629097472 |
| Entity Type | Individual |
| Full Name | DR. SURESH HIRJI SHAH |
| Credential | MD |
| Practice Address |
1235 Indian Trail Lilburn Rd Norcross GA 30093-4502 |
| Mailing Address |
Po Box 1553 Duluth GA 30096-0027 |
| Practice Telephone | 7709311333 |
| Practice Fax Number | 7709313111 |
| Mailing Telephone | 7709311333 |
| Mailing Fax Number | 7709313111 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 033193 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00466958Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679640387 | Suresh S Shah | Internal Medicine | 269 Berkeley Way, Monroeville, PA 15146-2847 | 2006-11-29 |
| 1518040617 | Suresh Shah | Family Medicine | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | 2006-10-23 |
| 1609807965 | Suresh N Shah | Pediatrics | 300b Princeton Hightstown Rd, Suite #201, East Windsor, NJ 08520-1411 | 2006-07-05 |
| Street Address |
1235 INDIAN TRAIL LILBURN RD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215381710 | Ravi Suresh Shah | Internal Medicine | 1235 Indian Trail Lilburn Rd, Norcross, GA 30093-5524 | 2016-04-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131732 | Thao Hieu Pham | Family Medicine | 3985 Steve Reynolds Blvd Ste K102, Norcross, GA 30093-3099 | 2019-09-03 |
| 1831543081 | Abiola O Saibu | Family Medicine | 5300 Oakbrook Pkwy Ste 130, Norcross, GA 30093-2261 | 2016-04-13 |
| 1720367287 | Ibrahim Aliu Opaleye | Family Medicine | 5955 Jimmy Carter Blvd Ste 100, Norcross, GA 30071-4608 | 2011-08-15 |
| 1861722183 | Loma Clinic | Family Medicine | 6011 Western Hills Dr, 100, Norcross, GA 30071-3483 | 2010-01-08 |
| 1407025463 | Wilmer & Associates Group Inc. | Family Medicine | 1234 Beaver Ruin Rd, Suite 108, Norcross, GA 30093-3005 | 2008-02-25 |
| 1487840468 | Tesfaye Md | Family Medicine | 4045 Royal Pennon Ct, Norcross, GA 30092-2178 | 2007-09-24 |
| 1649318171 | Rafael A Nieves | Family Medicine | 5195 Jimmy Carter Blvd Ste 100, Norcross, GA 30093-1649 | 2007-02-05 |
| 1477607737 | Steven Ngoc Ha | Family Medicine | 5955 Jimmy Carter Blvd, Suite 40, Norcross, GA 30071-4641 | 2007-01-23 |
| 1629126677 | Julie M. Crusor | Family Medicine | 6010 Dawson Blvd, Suite A-2, Norcross, GA 30093-1225 | 2007-01-08 |
| 1184711517 | Magnolia Medical Clinic, P.C. | Family Medicine | 1235 Indian Trail Road, Suite 200, Norcross, GA 30093 | 2006-10-06 |
| 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.