Chetan D. Shah, M.d.,pllc

NPI #1194925776 in Dayton, Tennessee

Provider Information

NPI Number: 1194925776
Entity Type: Organization
Organization Name: Chetan D. Shah, M.d.,pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 20, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 163 WALNUT GROVE CHURCH RD
Address 2: SUITE 102
City: Dayton
State: Tennessee
ZIP Code: 37321-5905
Phone: (423) 775-4056

Authorized Official

Name: DR. CHETAN DINESHBHAI SHAH, M.D.
Title: CHEIF MEMBER
Phone: (423) 775-4056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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