Provider Demographics
NPI:1437325511
Name:SHAH, PAYAL (MD)
Entity Type:Individual
Prefix:
First Name:PAYAL
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAYAL
Other - Middle Name:
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:500 RIVERCREST CV
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2580
Mailing Address - Country:US
Mailing Address - Phone:615-496-3701
Mailing Address - Fax:615-874-8478
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 311
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-6830
Practice Address - Fax:615-342-8636
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine