Provider Demographics
NPI:1780941740
Name:SHAH, NEMIL ASHVIN (MD)
Entity type:Individual
Prefix:
First Name:NEMIL
Middle Name:ASHVIN
Last Name:SHAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 IVORY PL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2349
Mailing Address - Country:US
Mailing Address - Phone:256-325-0236
Mailing Address - Fax:256-325-0240
Practice Address - Street 1:101 IVORY PL
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2349
Practice Address - Country:US
Practice Address - Phone:256-325-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33227208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice