Organization
CHETAN D. SHAH, M.D.,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETAN DINESHBHAI SHAH M.D. (CHEIF MEMBER)
(423) 775-4056
Entity
Organization
Contact information
Practice address
163 WALNUT GROVE CHURCH RD, SUITE 102, DAYTON, TN 37321-5905
(423) 775-4056
(423) 775-1054
Mailing address
163 WALNUT GROVE CHURCH RD, SUITE 102, DAYTON, TN 37321-5905
(423) 775-4056
(423) 775-1054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31883
TN
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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