| Chetan D. Shah, M.d.,pllc | |
|
163 Walnut Grove Church Rd Suite 102 Dayton TN 37321-5905 | |
| (423) 775-4056 | |
| (423) 775-1054 |
| Full Name | Chetan D. Shah, M.d.,pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 163 Walnut Grove Church Rd, Dayton, Tennessee |
| Authorized Official Name and Position | Chetan Dineshbhai Shah (CHEIF MEMBER) |
| Authorized Official Contact | 4237754056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chetan D. Shah, M.d.,pllc 163 Walnut Grove Church Rd Suite 102 Dayton TN 37321-5905 Ph: (423) 775-4056 | Chetan D. Shah, M.d.,pllc 163 Walnut Grove Church Rd Suite 102 Dayton TN 37321-5905 Ph: (423) 775-4056 |
| NPI Number | 1194925776 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194925776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD31883 (Tennessee) | Primary |
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