Individual
DR. MANISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20701
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051507493
—
AL
01
—
C100
CLINIC ID-GADSDEN
AL
01
—
C243
CLINIC ID-BOAZ
AL
01
—
C373
CLINIC ID-FT PAYNE
AL
Enumeration date
05/01/2006
Last updated
09/13/2023
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