Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mobin Shah, MD

Individual provider Family Medicine Physician · NPI 1932319613

Mobin Shah, MD is an Internal Medicine in Fayetteville, Georgia. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-5609
Fax: (770) 719-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 064068 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 64068 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 64068 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 64068 (GA)

Record details

NPI number1932319613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESMarch 25, 2019
Mailing address352 Langshire Dr, McDonough, GA 30253-8055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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