Provider Demographics
NPI:1275791592
Name:SHAH, MONJRI MANHAR (MD)
Entity Type:Individual
Prefix:
First Name:MONJRI
Middle Name:MANHAR
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 OFFICE PARK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2457
Mailing Address - Country:US
Mailing Address - Phone:205-803-4330
Mailing Address - Fax:205-803-4354
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:WOMEN'S MEDICAL PLAZA, SUITE 104
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6899
Practice Address - Country:US
Practice Address - Phone:205-877-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244876207V00000X
AL30991207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051118108OtherBCBS
AL129380Medicaid
AL129384Medicaid
AL051118098OtherBCBS
AL129383Medicaid
AL051118103OtherBCBS
AL051118106OtherBCBS
AL129379Medicaid
AL129385Medicaid
AL051118104OtherBCBS
AL129381Medicaid
MS05031798Medicaid
AL051118109OtherBCBS
AL051118110OtherBCBS
AL129382Medicaid
AL129383Medicaid