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NPI Code Detail

MEDICARE: ROHAN SHAH M.D.

MEDICARE: ROHAN 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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianMD48412TN

General Provider Information

NPI Number : 1811139470
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROHAN SHAH M.D.
Provider Business Mailing Address
First Line : 1605 WILLIAMS RD
Second Line : STE 201
City : HIXSON
State : TN
Zip : 37343-4934
Country : US
Telephone Number : 423-756-1002
Fax Number : 423-756-1004
Provider Business Practice Location Address
First Line : 1605 WILLIAMS RD
Second Line : STE 201
City : HIXSON
State : TN
Zip : 37343-4934
Country : US
Telephone Number : 423-756-1002
Fax Number : 423-756-1004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2009
Last Update Date : 02/15/2024

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