Individual
SHIVAM VIPUL AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 NORMANDIE DR STE 314, MONTGOMERY, AL 36111-2732
(334) 263-0105
(334) 264-4386
Mailing address
2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL 35205-4009
(334) 263-0105
(334) 264-4386
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125073564
IL
207W00000X
Ophthalmology Physician
81518
WI
207W00000X
Ophthalmology Physician
Primary
MD.50972
AL
Other
Enumeration date
03/21/2019
Last updated
07/02/2025
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