Shah, Shahzad

Shah, Shahzad is an individual health care provider with primary practice located at 145 Innovation Dr , Jackson TN 38305-3019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shah, Shahzad can be contacted via phone (731) 422-0213.

Contact Information

Primary practice address
145 Innovation Dr Jackson TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 422-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD48780 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD12345 Tennessee

Profile Details

NPI number 1356528442
LBN Legal business name Shah, Shahzad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Oct 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356528442 NPPES
Tennessee Other RAILROAD PTAN P01069657
Tennessee MEDICAID 1528679 P01069657

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