P Praxis·MD
● Active Type 1 · Individual

DR. Rakesh Rasiklal Shah, M.D.

Internal Medicine·Marietta, GA· NPI 1063414522 · Enumerated 2005 · 20 years on NPI
Shah is 1 of 159 internal medicine providers in Marietta and 1 of 5027 in Georgia.
NPI age
20 years
Enumerated 2005-08-15
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, TN, NM
3 states
Status
Active
No deactivations on record
Last NPPES update
2018-11-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
4010 Oak Forest Circle
Marietta, GA 30062
📞 4046975625fax 8886699073
Mailing address
4010 Oak Forest Cir
Marietta, GA 300625253
📞 4046975625fax 8886699073

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #056220NM license #MD2016-0649 taxonomy 207R00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    TN license #36761 taxonomy 207P00000X

Identifiers

TypeValueNotes
01 (TN) 110234591 RAILROAD MEDICARE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new internal medicine provider has been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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