Provider Demographics
NPI:1528215225
Name:SHAW, SACARA DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SACARA
Middle Name:DANIELLE
Last Name:SHAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE STE 407
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1864
Mailing Address - Country:US
Mailing Address - Phone:615-342-6880
Mailing Address - Fax:615-986-5959
Practice Address - Street 1:2201 MURPHY AVE STE 407
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1864
Practice Address - Country:US
Practice Address - Phone:615-342-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48830207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology