Shah, Sanjiv A

Shah, Sanjiv A is an individual health care provider with primary practice located at 124 S Memorial Dr , Prattville AL 36067-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Sanjiv A can be contacted via phone (334) 613-3680.

Contact Information

Primary practice address
124 S Memorial Dr Prattville AL 36067-3619
Phone: (334) 613-3680
Fax: (334) 613-3685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00026760 Alabama

Profile Details

NPI number 1730157561
LBN Legal business name Shah, Sanjiv A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730157561 NPPES
Other 051002492 BLUE CROSS BLUE SHIELD
MEDICAID 009932223 BLUE CROSS BLUE SHIELD

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