| Healthstar Medical Group Pllc | |
|
560 Fire Station Road Clarksville TN 37043-4016 | |
| (931) 368-9736 | |
| (931) 346-0097 |
| Full Name | Healthstar Medical Group Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 560 Fire Station Road, Clarksville, Tennessee |
| Authorized Official Name and Position | Jigar Kanubhai Shah (PHYSICIAN) |
| Authorized Official Contact | 9318028056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthstar Medical Group Pllc 1960 Madison St Clarksville TN 37043-8063 Ph: (931) 368-9736 | Healthstar Medical Group Pllc 560 Fire Station Road Clarksville TN 37043-4016 Ph: (931) 368-9736 |
| NPI Number | 1801675426 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 08/26/2024 |
| Medicare PECOS PAC ID | 6800246810 |
|---|---|
| Medicare Enrollment ID | O20240103000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801675426 | NPI | - | NPPES |
| Provider Name | William R Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770521940 PECOS PAC ID: 4688655525 Enrollment ID: I20040526001658 |
| Provider Name | Anju Mendiratta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578533105 PECOS PAC ID: 2264453539 Enrollment ID: I20051214000513 |
| Provider Name | Jigar K Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013936079 PECOS PAC ID: 8426079435 Enrollment ID: I20051216000669 |
| Provider Name | Pardeep K Sharma |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588645196 PECOS PAC ID: 5395707806 Enrollment ID: I20060131000877 |
| Provider Name | Disha R. Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982919585 PECOS PAC ID: 3072739234 Enrollment ID: I20140723002155 |
| Provider Name | Lavian Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053995464 PECOS PAC ID: 1658764014 Enrollment ID: I20220207001763 |
| Provider Name | Arun Agrawal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932300241 PECOS PAC ID: 2365629359 Enrollment ID: I20220614001808 |
| Provider Name | Elizabeth Bator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489556 PECOS PAC ID: 6800190935 Enrollment ID: I20241205000533 |
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