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

Individual provider Medical Physician Assistant · NPI 1588901581

Vrundaben C Shah, PA is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2012, 14 years ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone: (770) 962-0399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 534-2020

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006680 (GA)

Record details

NPI number1588901581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 10, 2013
Last updated in NPPESSeptember 28, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville