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NPI Code Detail

MEDICARE: RAVI SHAH M.D.

MEDICARE: RAVI SHAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician63812TN
2207R00000XInternal Medicine PhysicianL-228146MA
3207RC0000XCardiovascular Disease Physician63812TN
4207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician63812TN
5207RC0000XCardiovascular Disease Physician228146MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265569610
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVI SHAH M.D.
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number : 615-936-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 06/03/2026

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Directions to “ RAVI SHAH M.D.” Practice Location

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