Individual
NAVINCHANDRA RAMJI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 N DIXIE AVE, SUITE # 700, ELIZABETHTOWN, KY 42701-2488
(270) 737-1399
(270) 737-6916
Mailing address
790 N DIXIE AVE, SUITE # 700, ELIZABETHTOWN, KY 42701-2488
(270) 737-1399
(270) 737-6916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21262
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361515
ANTHEM BC BS
KY
05
—
64212624
—
KY
Enumeration date
09/28/2006
Last updated
07/08/2007
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