Shaw, Mark R

Shaw, Mark R is an individual health care provider with primary practice located at 3310 Aspen Grove Dr Suite 203, Franklin TN 37067. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Shaw, Mark R can be contacted via phone (615) 771-8274.

Contact Information

Primary practice address
3310 Aspen Grove Dr Suite 203 Franklin TN 37067
Phone: (615) 771-8274
Fax: (615) 771-8674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30364 Tennessee
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 30364 Tennessee

Profile Details

NPI number 1538143383
LBN Legal business name Shaw, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 4th, 2021 - about 4 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 1538143383 NPPES
Tennessee MEDICAID Q035443

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