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NPI Code Detail

MEDICARE: JOANNA ETHEL TAHSIO SHAW-KAIKAI MD

MEDICARE: JOANNA ETHEL TAHSIO SHAW-KAIKAI MD
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
1207RI0200XInfectious Disease PhysicianM0000044802TN
2207R00000XInternal Medicine PhysicianM0000044802TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-0026125OTHERINSTITUTIONAL PERMIT

General Provider Information

NPI Number : 1881896553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA ETHEL TAHSIO SHAW-KAIKAI MD
Provider Business Mailing Address
First Line : 2500 CHARLOTTE AVE
Second Line : TB ELIMINATION
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-5650
Fax Number : 615-340-8973
Provider Business Practice Location Address
First Line : 2500 CHARLOTTE AVE
Second Line : TB ELIMINATION
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-5650
Fax Number : 615-340-8973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 06/17/2016

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1962625343 — MARTHA A. LENNON RN
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1992926653 — MRS. SONYA G. BARBOUR CFNP
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1497969257 — PAMELA K TROTTER RN, APN-BC
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2500 CHARLOTTE AVE , SUITE 110
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