Individual
NEHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6988 E BRAINERD RD, CHATTANOOGA, TN 37421-3834
(423) 894-6614
Mailing address
122 CHEEKWOOD TERRACE, NASHVILLE, TN 37205
(423) 504-4914
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000010449
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528451309
NPI
—
Enumeration date
03/18/2015
Last updated
07/21/2022
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