Individual
STEVEN RANDOLPH SHADIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-7404
Mailing address
7941 HAMPTON COVE DR, OOLTEWAH, TN 37363-7184
(678) 778-9540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67128
TN
208M00000X
Hospitalist Physician
Primary
67128
TN
208M00000X
Hospitalist Physician
A149509
CA
Other
Enumeration date
04/17/2015
Last updated
03/07/2023
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