Chetan D. Shah, M.D.,PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD31883 Issued in TN

Legal business name

CHETAN D. SHAH, M.D.,PLLC

Practice address

163 Walnut Grove Church Rd
Suite 102
Dayton, TN 37321-5905

Phone

(423) 775-4056

Fax

(423) 775-1054

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chetan Dineshbhai Shah, M.D.NPI 1659480606

Title

Cheif Member

Phone

(423) 775-4056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chetan Dineshbhai Shah, MD

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1659480606
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1194925776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WALNUT GROVE CHURCH RD",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215905",
            "telephone_number": "423-775-4056",
            "fax_number": "423-775-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 WALNUT GROVE CHURCH RD",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215905",
            "telephone_number": "423-775-4056",
            "fax_number": "423-775-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETAN D. SHAH, M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_middle_name": "DINESHBHAI",
        "authorized_official_title_or_position": "CHEIF MEMBER",
        "authorized_official_telephone_number": "423-775-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD31883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lauren Cardwell, CPNP
• John Robert Carter Jr.
• Nina Michelle Cavitt, NP-C
• Chattanooga Bone and Joint Surgeons
• Chattanooga Orthopaedic Group, PC (Center for Sports Medicine and Orthopaedics)
• Brea Cito
• City Department of Education (Dayton City Schools)
• Roberta D Cobbe, RPH
• William Bruce Colburn, PHARM.D.
• Aaron Lee Connell, MPT

• Internal Medicine Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.