Shah, Smita S

Shah, Smita S is an individual health care provider with primary practice located at 4601 Whitesburg Dr Se Ste 101 , Huntsville AL 35802-1677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Shah, Smita S can be contacted via phone (256) 882-7888.

Contact Information

Primary practice address
4601 Whitesburg Dr Se Ste 101 Huntsville AL 35802-1677
Fax: (256) 882-7886
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19024 Alabama

Profile Details

NPI number 1063454817
LBN Legal business name Shah, Smita S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 5th, 2022 - about 3 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 1063454817 NPPES
Alabama MEDICAID 000079381

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