Provider Demographics
NPI:1013613272
Name:SHAH, AASTHA PARESH
Entity type:Individual
Prefix:
First Name:AASTHA PARESH
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 HOLCOMB BRIDGE RD STE 480
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1837
Mailing Address - Country:US
Mailing Address - Phone:770-640-5470
Mailing Address - Fax:770-640-5471
Practice Address - Street 1:8400 HOLCOMB BRIDGE RD STE 480
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1837
Practice Address - Country:US
Practice Address - Phone:770-640-5470
Practice Address - Fax:770-640-5471
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NY049469225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist