Shah, Nalinchandra Gopaldas

Shah, Nalinchandra Gopaldas is an individual health care provider with primary practice located at 1516 Bridgewater Ln , Kingsport TN 37664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Shah, Nalinchandra Gopaldas can be contacted via phone (423) 247-1122.

Contact Information

Primary practice address
1516 Bridgewater Ln Kingsport TN 37664
Phone: (423) 247-1122
Fax: (423) 247-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD0000015776 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000015776 Tennessee

Profile Details

NPI number 1417016346
LBN Legal business name Shah, Nalinchandra Gopaldas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417016346 NPPES
Kentucky MEDICAID 64663172

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