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

Shan Shah, MD

Individual provider Internal Medicine Physician · NPI 1023535838

Shan Shah, MD is an Internal Medicine in Southaven, Mississippi. Qualified in 2013, 13 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Mississippi and Tennessee.

Years since qualifying
13
Licensed in
AR, MS, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-2980
Fax: (662) 772-2960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2100 N 7th St, West Memphis, AR 72301-2017 — (901) 226-3610
  • 6019 Walnut Grove Rd, Memphis, TN 38120-2113 — (901) 226-3610

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27813 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-14096 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 61053 (TN)

Record details

NPI number1023535838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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