Look up the most recent NPI and PECOS records

Aruna Shah

Family Medicine

Allopathic & Osteopathic Physicians

2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569

(423) 857-2260 (423) 857-2066

PECOS Enrollment

Based on the most recent information from CMS, provider Aruna Shah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316940091
Provider Type
Individual
Full Name
Shah, Aruna
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2005
Last Updated
9/23/2009

Contact Information

Practice Location

2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569

(423) 857-2260

(423) 857-2261

Mailing Location

PO Box 9, Kingsport, TN 37662-0009

(423) 857-2066

(423) 857-2070

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD 39090 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3339590	Description Medicaid	Issuer Unlisted Tennessee
ID 010124077	Description Medicaid	Issuer Unlisted Virginia

Aruna Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Jantzi, Curtis Matthew

Tochev, Tihomir Ivanov

Goan, Kari Jones

Ng, Anthony Tin-Lung

Centerpoint Medical Clinic Llc

Greene, Nathaniel A

Harris, Erin Elizabeth

Woodard, Jennifer Lynn

Peters-Diamond, Jennifer Carlita

Miranda, Renee May Sayson