Individual
SHIVANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6799 GREAT OAKS RD, 100, MEMPHIS, TN 38138-2588
(901) 751-0405
Mailing address
6799 GREAT OAKS RD, 100, MEMPHIS, TN 38138-2588
(901) 751-0405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3098
TN
Other
Enumeration date
10/05/2016
Last updated
03/24/2022
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