DR. INDRAVADAN KESHAVLAL SHAH (NPI# 1023100914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023100914 |
| Entity Type | Individual |
| Full Name | DR. INDRAVADAN KESHAVLAL SHAH |
| Credential | M.D. |
| Practice Address |
2339 Mccallie Ave Suitt # 203 Chattanooga TN 37404 |
| Practice Telephone | 4236243406 |
| Practice Fax Number | 4236247657 |
| Mailing Telephone | 4236243406 |
| Mailing Fax Number | 4236247657 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
19472 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
15736 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00311627A | 05 | |
| TN | 3-00910-5 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811271596 | Indravadan Babulal Shah | Pharmacist | 4513 Church St, Skokie, IL 60076-1611 | 2011-09-29 |
| 1467537746 | Indravadan C Shah | Family Medicine | 454 E Shore Rd, Great Neck, NY 11024-1540 | 2006-10-26 |
| 1427071620 | Indravadan P Shah | Internal Medicine | 667 Beville Rd, Ste B, South Daytona, FL 32119-1952 | 2006-07-26 |
| 1932126497 | Indravadan Somalal Shah | Internal Medicine | 931 Buena Vista Street, #504, Duarte, CA 91010 | 2006-07-17 |
| Street Address |
2339 MCCALLIE AVE SUITT # 203 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320422 | Wallis H Martz | Nurse Practitioner | 2339 Mccallie Ave, Suite 309, Chattanooga, TN 37404-3256 | 2005-07-19 |
| 1467998278 | Orthopedic Surgical Specialists | Orthopaedic Surgery | 2339 Mccallie Ave, Suite 406 Plaza II, Chattanooga, TN 37404-3239 | 2017-01-18 |
| 1518244367 | Southern Pain Management | Specialist | 2339 Mccallie Ave, Suite 309, Chattanooga, TN 37404-3256 | 2011-11-08 |
| 1114126281 | Vicki Willis Butters | Registered Nurse | 2339 Mccallie Ave, Suite 413, Chattanooga, TN 37404-3256 | 2007-07-17 |
| 1750408977 | Robert J Barth | Clinical Neuropsychologist | 2339 Mccallie Ave, Suite 202, Chattanooga, TN 37404-3256 | 2007-03-23 |
| 1275660060 | Robert Crook | Physical Medicine & Rehabilitation | 2339 Mccallie Ave, Plaza II, Suite 407, Chattanooga, TN 37404-3256 | 2007-02-27 |
| 1396896601 | Amy C Mullin | Nurse Practitioner | 2339 Mccallie Ave, Suite 309, Chattanooga, TN 37404-3256 | 2007-01-15 |
| 1225104516 | Tamunosaki E Lawson | Psychiatry & Neurology | 2339 Mccallie Ave, Suite 401, Chattanooga, TN 37404-3256 | 2006-11-28 |
| 1518048552 | Phillip G Wright | Psychologist | 2339 Mccallie Ave, Suite 401, Plaza Two, Chattanooga, TN 37404-3256 | 2006-10-18 |
| 1891732053 | Joseph Walter Sledge IIi | Internal Medicine | 2339 Mccallie Ave, Plaza 2 Ste 204, Chattanooga, TN 37404-3256 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205063591 | Jayne Littlejohn Crowe | Internal Medicine | 979 E. Third St, Suite B - 805, Chattanooga, TN 37403-2141 | 2009-06-15 |
| 1396983524 | Lizeth Jovanna Romero | Internal Medicine | 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 | 2009-01-26 |
| 1568564672 | Richard W Brackett | Internal Medicine | 6145 Shallowford Rd, Ste 102, Chattanooga, TN 37421 | 2006-09-01 |
| 1558775130 | Jonathan Mills | Internal Medicine | 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 | 2014-06-11 |
| 1952627333 | Melinda Jane Garcia-rosell | Internal Medicine | 725 Glenwood Drive, Suite E-884, Chattanooga, TN 37404 | 2010-04-11 |
| 1205911732 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-10-25 |
| 1689692998 | Michael Brit | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-07-17 |
| 1437177441 | Elizabeth Turner | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043799026 | American Arthritis & Rheumatology Associates Tn, Pllc | Internal Medicine | 6005 Park Ave Ste 409, Memphis, TN 38119-5214 | 2018-08-09 |
| 1316234974 | Maryam Pourpaki | Internal Medicine | 4230 Harding Pike Ste 301, Nashville, TN 37205-2098 | 2011-07-05 |
| 1336460054 | Mark Robin Boothby | Internal Medicine | Div of Rheumatology Vanderbilt Medical Ctr, T-3217 Medical Center North, 1161 21st Ave S, Nashville, TN 37232-0001 | 2010-06-16 |
| 1083931539 | Medical Specialists of Johnson City | Internal Medicine | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2010-04-23 |
| 1487880829 | Syed Saquib Islam | Internal Medicine | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 | 2009-05-29 |
| 1154564086 | Seunghyun Kim | Internal Medicine | 956 Court Ave Ste G-326, Memphis, TN 38103-2814 | 2009-04-08 |
| 1487814166 | Cecilia Pilar Chung Nakandakari | Internal Medicine | S 1115 Medical Center North, 1611 21st Avenue South, Nashville, TN 37232-2681 | 2008-06-16 |
| 1558533760 | J Suzanne Moore | Internal Medicine | 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2008-03-27 |
| 1457408304 | Chad Stephen Boomershine | Internal Medicine | Suite 2501 Tvc, 1301 22nd Ave South, Nashville, TN 37232-0001 | 2007-01-04 |
| 1659428548 | Anne E Eyler | Internal Medicine | 5653 Frist Blvd Ste 630, Hermitage, TN 37076-2094 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.