Shah, Basharat A.

Shah, Basharat A. is an individual health care provider with primary practice located at 1 Medical Park Blvd. Bristol Regional Medical Center, Bristol TN 37620. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shah, Basharat A. can be contacted via phone (423) 282-1480.

Contact Information

Primary practice address
1 Medical Park Blvd. Bristol Regional Medical Center Bristol TN 37620
Phone: (423) 282-1480
Fax: (423) 928-1353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.116972 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50541-020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101250967 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48226 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48226 Tennessee

Profile Details

NPI number 1396871422
LBN Legal business name Shah, Basharat A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Oct 23rd, 2013 - about 12 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 1396871422 NPPES
Wisconsin MEDICAID 34918800
Wisconsin Other 60714

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