MR. AZHAR S SHAH (NPI# 1902085814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902085814 |
| Entity Type | Individual |
| Full Name | MR. AZHAR S SHAH |
| Credential | MSPT |
| Practice Address |
1979 Lakeside Pkwy Ste. 250 Tucker GA 30084-5935 |
| Practice Telephone | 6788371252 |
| Practice Fax Number | 7709082203 |
| Mailing Telephone | 6788371252 |
| Mailing Fax Number | 7709082203 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2007028770 | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837654 | Azhar Shah | Student in an Organized Health Care Education/Training Program | 6431 Fannin St # 1.126, Houston, TX 77030-1501 | 2018-04-04 |
| Street Address |
1979 LAKESIDE PKWY STE. 250 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336122456 | Crystal D Bedford | Occupational Therapist | 1979 Lakeside Pkwy, Ste 800, Tucker, GA 30084-5935 | 2005-11-22 |
| 1578949558 | Elsie Bolton | Speech-Language Pathologist | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2015-08-03 |
| 1578979449 | Jamie Neal Reed | Specialist | 1979 Lakeside Pkwy, Tucker, GA 30084-5935 | 2014-07-10 |
| 1003221227 | Marcelle Foley | Speech-Language Pathologist | 1979 Lakeside Pkwy, Tucker, GA 30084-5935 | 2014-06-26 |
| 1659796746 | Tanya Hou | Registered Nurse | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2014-02-26 |
| 1356765499 | Poonam Harshad Parbhoo | Speech-Language Pathologist | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2014-02-10 |
| 1205166717 | Vitex Healthcare, PC | Hospitalist | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2010-01-05 |
| 1780810077 | Lindsey Erin Powell | Occupational Therapy Assistant | 1979 Lakeside Pkwy, Tucker, GA 30084-5935 | 2009-06-01 |
| 1144471749 | Gregory Alan Lewis | Physical Therapy Assistant | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2008-10-02 |
| 1871710723 | Soliant Health | Contractor | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173736 | Sangai B Cole | Contractor | 3051 Shadow Walk Ln, Tucker, GA 30084-2140 | 2019-03-12 |
| 1871710723 | Soliant Health | Contractor | 1979 Lakeside Pkwy, Suite 800, Tucker, GA 30084-5935 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
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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.