| Dr Shah Clinic | |
|
225 W Water St Mayfield KY 42066-2240 | |
| (270) 247-2100 | |
| (270) 247-2113 |
| Full Name | Dr Shah Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 W Water St, Mayfield, Kentucky |
| Authorized Official Name and Position | Dinesh H Shah (OWNER) |
| Authorized Official Contact | 2702472100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shah Clinic 225 W Water St Mayfield KY 42066-2240 Ph: (270) 247-2100 | Dr Shah Clinic 225 W Water St Mayfield KY 42066-2240 Ph: (270) 247-2100 |
| NPI Number | 1124167333 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124167333 | NPI | - | NPPES |
| 4219055 | Other | KY | AETNA |
| 64260920 | Medicaid | KY | |
| 000000341370 | Other | KY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26092 (Kentucky) | Primary |
Kentuckycare 63 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Kings Dr, Mayfield, KY 42066 Phone: 270-804-7710 Fax: 270-804-7722 | |
Mayfield Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Mayfield, KY 42066 Phone: 270-247-1104 Fax: 270-247-1107 | |
Magnolia Family Practice Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066 Phone: 270-251-4545 Fax: 270-251-4546 | |
Pinelake Physician Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Mayfield, KY 42066 Phone: 270-247-1104 | |
Pinelake Physician Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4543 Fax: 270-251-4544 | |
Dale E. Jones, Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4545 Fax: 270-251-4546 |