Shah, Indravadan Keshavlal

Shah, Indravadan Keshavlal is an sole proprietor health care provider with primary practice located at 2339 Mccallie Ave Suitt # 203, Chattanooga TN 37404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Shah, Indravadan Keshavlal can be contacted via phone (423) 624-3406.

Contact Information

Primary practice address
2339 Mccallie Ave Suitt # 203 Chattanooga TN 37404
Phone: (423) 624-3406
Fax: (423) 624-7657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 15736 Tennessee
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 19472 Georgia

Profile Details

NPI number 1023100914
LBN Legal business name Shah, Indravadan Keshavlal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Oct 31st, 2011 - about 14 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 1023100914 NPPES
Tennessee MEDICAID 3-00910-5
Tennessee MEDICAID 00311627A

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