Individual
NIDA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(971) 240-1298
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(971) 240-1298
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75146
TN
207LP3000X
Pediatric Anesthesiology Physician
Primary
75146
TN
207LP3000X
Pediatric Anesthesiology Physician
PG221342
OR
Other
Enumeration date
10/17/2024
Last updated
03/18/2026
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