Individual
MR. JAYRAJ C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 N LOCUST AVE, LAWRENCEBURG, TN 38464-3518
(931) 762-8588
(931) 766-1010
Mailing address
PO BOX 508, LAWRENCEBURG, TN 38464-0508
(931) 762-8588
(931) 766-1010
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
MD12977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3182622
—
TN
01
—
BCBS-TN 0000924
BLUE CROSS
TN
Enumeration date
08/15/2006
Last updated
05/29/2013
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