# DOUGLAS B SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235157587
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 10698 | AL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 06/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000011194 | BLUE CROSS | AL |
| 05 | — | 000011194 | — | AL |
| 05 | — | 0009940033 | — | AL |
| 05 | — | 00112131 | — | MS |
| 01 | — | 010033CD08149 | SECTION 1011 | AL |
| 01 | — | 051511216 | BLUE CROSS | AL |
| 01 | — | 051511217 | BLUE CROSS | AL |
| 01 | — | 051537904 | BLUE CROSS | AL |
| 01 | — | 50053254 | RAILROAD MEDICARE | AL |
| 01 | — | 902107800 | FLORIDA MEDICAID | FL |
| 01 | — | D08149 | VIVA | AL |