Provider Demographics
NPI:1407881519
Name:SHEKHAT, NANJI (MD)
Entity Type:Individual
Prefix:DR
First Name:NANJI
Middle Name:
Last Name:SHEKHAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 W CENTRAL AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-3485
Mailing Address - Country:US
Mailing Address - Phone:423-562-2518
Mailing Address - Fax:423-566-0885
Practice Address - Street 1:503 W CENTRAL AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-3485
Practice Address - Country:US
Practice Address - Phone:423-562-2518
Practice Address - Fax:423-566-0885
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN119902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry