Individual
DR. INDRAVADAN KESHAVLAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2339 MCCALLIE AVE, SUITT # 203, CHATTANOOGA, TN 37404
(423) 624-3406
(423) 624-7657
Mailing address
2339 MCCALLIE AVE, SUITT # 203, CHATTANOOGA, TN 37404
(423) 624-3406
(423) 624-7657
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15736
TN
207RR0500X
Rheumatology Physician
19472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311627A
—
GA
05
—
3-00910-5
—
TN
Enumeration date
09/28/2006
Last updated
10/31/2011
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