Provider Demographics
NPI:1083694707
Name:SHETH, MILAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:N
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MILAN
Other - Middle Name:NARESHBHAI
Other - Last Name:SHETH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 440332
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0332
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:689 MEDICAL PARK DR
Practice Address - Street 2:STE 301
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5795
Practice Address - Country:US
Practice Address - Phone:865-988-6330
Practice Address - Fax:865-988-8772
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN38046901Medicaid
TN1516296Medicaid
TN38046901Medicaid
TN38046901Medicare PIN