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

Dr. Mayank Shah, MD

Individual provider Pulmonary Disease Physician · NPI 1740461896

Dr. Mayank Shah, MD is an Internal Medicine in Johnson City, Tennessee. Qualified in 1998, 28 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 N State Of Franklin Rd
Johnson City, TN 37604-6056
Phone: (423) 439-6283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A103101 (CA)

Record details

NPI number1740461896
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2007
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address325 N State Of Franklin Rd, Johnson City, TN 37604-6056

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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