STATUS ALLERGY CLINIC OF KINGSPORT
NPI 1972811503
Allergy & Immunology in Kingsport, TN

Active since September 16, 2010
1516 BRIDGEWATER DR., KINGSPORT, TN 37660(423) 247-1122(423) 247-3856 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Status Allergy Clinic Of Kingsport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATUS ALLERGY CLINIC OF KINGSPORT (NPI 1972811503) is a healthcare organization registered as an allergy & immunology in Kingsport, Tennessee and active in the NPI registry since September 2010. The organization lists Nalinchandra Gopaldas Shah, President - Md, as its authorized official.

NPPES Registry Identity

NPI1972811503
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameSTATUS ALLERGY CLINIC OF KINGSPORT
Location Address1516 BRIDGEWATER DR.Kingsport, TN 37660
Mailing AddressP.o. Box 3490Kingsport, TN 37664 · (423) 247-1122 · Fax (423) 247-3856
Fax(423) 247-3856
Organization SubpartNo
Authorized OfficialNalinchandra Gopaldas ShahPresident - Md · (423) 247-1122
Enumeration DateSeptember 16, 2010
NPI 1972811503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in TN · MD0000015776
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MD0000015776 (TN)
1516 BRIDGEWATER DR., Kingsport, TN 37660

Other Identifiers 3

Medicare PIN3079726TN
Medicare UPINB59718TN
Medicaid64663172KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Status Allergy Clinic Of Kingsport's NPI number?

The NPI number for Status Allergy Clinic Of Kingsport is 1972811503. It was assigned to this organization in the NPPES registry on September 16, 2010.

Where is Status Allergy Clinic Of Kingsport located?

Status Allergy Clinic Of Kingsport is located at 1516 Bridgewater Dr., Kingsport, TN 37660. The listed phone number is (423) 247-1122.

What is Status Allergy Clinic Of Kingsport's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Status Allergy Clinic Of Kingsport was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.