Individual
DR. RUPAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 2, JOHNSON CITY, TN 37604-6092
(423) 439-7280
(423) 439-7314
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7280
(423) 439-7314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD49317
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530818
—
TN
01
—
MD49317
MEDICAL LICENSE
TN
Enumeration date
03/20/2009
Last updated
01/25/2024
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