Individual
NIRAJ JAMES SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2424 15TH ST FL 4, MERIDIAN, MS 39301-3951
(601) 553-2000
(601) 553-6746
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2022009594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09651555
—
MS
05
—
200109033
—
MO
Enumeration date
04/02/2012
Last updated
01/16/2025
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