Provider Demographics
NPI:1356786693
Name:DILIP V SHAH MD PC
Entity type:Organization
Organization Name:DILIP V SHAH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-663-1338
Mailing Address - Street 1:1140 1ST ST N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8771
Mailing Address - Country:US
Mailing Address - Phone:205-663-1338
Mailing Address - Fax:205-664-3719
Practice Address - Street 1:1140 1ST ST N
Practice Address - Street 2:SUITE 100
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8771
Practice Address - Country:US
Practice Address - Phone:205-663-1338
Practice Address - Fax:205-664-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13145207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty