Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Victor A. Shada, DO, PC

Organization Family Medicine Physician · NPI 1407037211

Victor A. Shada, DO, PC is a Family Medicine Physician in Crossville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

396 S Main St
Crossville, TN 38555-5092
Phone: (931) 484-4560
Fax: (931) 484-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1424 (TN)

Record details

NPI number1407037211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Shada — Owner · (931) 484-4560
NPI enumeratedNovember 20, 2007
Last updated in NPPESJuly 9, 2010
Mailing addressPo Box 887, Crossville, TN 38557-0887

Other providers in Crossville