Bimal R. Shah MD
Internal Medicine Physician in Augusta, GA(View on Map)
Full Name
Bimal R Shah MD
NPI Number
1043319890
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/21/2006
Specialties
(Taxonomies)Code
207R00000X
207RC0000X
174400000X
Primary Taxonomy
Yes
No
No
Licenses
State
Georgia
South Carolina
License Number
037682
17759
Contact
Information
Purpose
Mailing
Location
Address
820 ST. SEBASTIAN WAY
820 ST. SEBASTIAN WAY
City
Augusta
Augusta
State
GA
GA
Postal Code
30901
30901
Country
US
US
Telephone Number
(706) 722-1249
(706) 722-1249
Identifiers
Identifier
00571128B
G37682
Identifier State
GA
SC
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2020
Provider Address
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