Organization
GASTROINTESTINAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANGESH SHUKLA MD (PRESIDENT)
(256) 314-1010
Entity
Organization
Contact information
Practice address
104 PHYSICIANS DR, SUITE A, MUSCLE SHOALS, AL 35661-2100
(256) 314-1010
(256) 314-0005
Mailing address
104 PHYSICIANS DR, SUITE A, MUSCLE SHOALS, AL 35661-2100
(256) 314-1010
(256) 314-0005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18418
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529919500
—
AL
Enumeration date
08/30/2006
Last updated
02/25/2010
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