Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | D63434 | MD |
N | 2086S0129X | Vascular Surgeon | MD53242 | TN |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD53242 | TN |
NPI | 1154350759 |
---|---|
Provider Name | Ashish Shah |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
408255900 | (05) | MD |
I38450 | (02) | MD |