Provider Demographics
NPI:1942059712
Name:SHAH, SWAR (MD)
Entity type:Individual
Prefix:
First Name:SWAR
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 EXECUTIVE PARK DRIVE NE EMORY UNIVERSITY SCHOOL OF M
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329
Mailing Address - Country:US
Mailing Address - Phone:404-727-5159
Mailing Address - Fax:404-727-5159
Practice Address - Street 1:12 EXECUTIVE PARK DRIVE NE EMORY UNIVERSITY SCHOOL OF M
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:404-727-5159
Practice Address - Fax:404-727-5159
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2025-04-11
Deactivation Date:2025-01-10
Deactivation Code:
Reactivation Date:2025-03-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program