Individual ProviderParth ShahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806(770) 219-0023PECOS EnrollmentBased on the most recent information from CMS, provider Parth Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1457938136Provider TypeIndividualFull NameShah, ParthCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/27/2021Last Updated7/12/2024Contact InformationPractice LocationPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806Phone(770) 219-0023FaxUnlisted FaxMailing LocationMailing Address4710 Gablestone Xing, Hoschton, GA 30548-6383PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense98731GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer