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Individual

NEHA BANSI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 362-4890
(601) 362-9626
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 371-5744
(615) 246-3939

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21792
MS
208M00000X
Hospitalist Physician
Primary
21792
MS

Other

Enumeration date
07/15/2008
Last updated
11/11/2011
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