Tri-state Gastroenterology Associates, Pllc | |
935 Spring Creek Rd Suite 203 Chattanooga TN 37412-3993 | |
(423) 760-4360 | |
(423) 760-4361 |
Full Name | Tri-state Gastroenterology Associates, Pllc |
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Speciality | Internal Medicine |
Location | 935 Spring Creek Rd, Chattanooga, Tennessee |
Authorized Official Name and Position | Nikhil S Shah (OWNER) |
Authorized Official Contact | 9312849660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri-state Gastroenterology Associates, Pllc 2106 Ooltewah Ringgold Rd Ooltewah TN 37363-9345 Ph: (931) 284-9660 | Tri-state Gastroenterology Associates, Pllc 935 Spring Creek Rd Suite 203 Chattanooga TN 37412-3993 Ph: (423) 760-4360 |
NPI Number | 1063802734 |
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Provider Enumeration Date | 02/02/2015 |
Last Update Date | 06/03/2024 |
Medicare PECOS PAC ID | 4880913706 |
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Medicare Enrollment ID | O20150427002280 |
Identifier | Type | State | Issuer |
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1063802734 | NPI | - | NPPES |
Provider Name | Nikhil S Shah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1104810027 PECOS PAC ID: 4688574304 Enrollment ID: I20040109000900 |
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