| Jayraj C. Shah, Md,pc | |
|
416 N Locust Ave Lawrenceburg TN 38464-3518 | |
| (931) 762-8588 | |
| (931) 766-1010 |
| Full Name | Jayraj C. Shah, Md,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 N Locust Ave, Lawrenceburg, Tennessee |
| Authorized Official Name and Position | Jayraj C. Shah (OWNER/MD) |
| Authorized Official Contact | 9317628588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayraj C. Shah, Md,pc Po Box 508 Lawrenceburg TN 38464-0508 Ph: (931) 762-8588 | Jayraj C. Shah, Md,pc 416 N Locust Ave Lawrenceburg TN 38464-3518 Ph: (931) 762-8588 |
| NPI Number | 1831385012 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 7618140567 |
|---|---|
| Medicare Enrollment ID | O20111109000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831385012 | NPI | - | NPPES |
| 3383582 | Medicaid | TN | |
| 3182622 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 12977 (Tennessee) | Primary |
| Provider Name | Jayraj C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457364671 PECOS PAC ID: 1850479577 Enrollment ID: I20080422000355 |
| Provider Name | Haley Kimbrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213670 PECOS PAC ID: 2567750276 Enrollment ID: I20161012002989 |
Amg-crockett, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-1800 Fax: 931-762-9155 | |
One Stop Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 326 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-9797 Fax: 931-762-9798 | |
Southern Comfort-primary And Chronic Care Management Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-8588 Fax: 931-766-1010 | |
Centennial Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464 Phone: 931-762-0531 Fax: 931-762-0998 | |
Northside Medical Professionals, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2656 Highway 43 N, Lawrenceburg, TN 38464 Phone: 931-540-4210 Fax: 931-380-1202 | |
Southern Tennessee Ears Nose And Throat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-5988 Fax: 931-762-5589 | |
Southern Tennessee Regional Health System Lawrenceburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 S Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-6571 |