Individual
DR. LATA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LUNG AND SLEEP CLINIC, 1112 EAST MAIN STREET, ROGERSVILLE, TN 37857-2808
(423) 293-3711
(423) 293-3900
Mailing address
LUNG AND SLEEP CLINIC (D/B/A), 1112 EAST MAIN STREET, ROGERSVILLE, TN 37857-2808
(423) 293-3711
(423) 293-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41496
TN
207RP1001X
Pulmonary Disease Physician
Primary
41496
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
41496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024218
—
TN
Enumeration date
07/27/2006
Last updated
03/14/2023
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