Individual
DR. BINOY JAGDISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VA MEDICAL CENTER, PSYCHIATRY SERVICE - 116A, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
38 CHEROKEE RIDGE CT, JOHNSON CITY, TN 37604-3767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40097
TN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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