Individual
DR. MITCHELL CAREY SHIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59664 HIGHWAY 22, ROANOKE, AL 36274-4438
(334) 863-8952
(334) 863-2361
Mailing address
59664 HIGHWAY 22, ROANOKE, AL 36274-4438
(334) 863-8952
(334) 863-2361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010937
MEDICARE
—
05
—
000010937
—
AL
01
—
51525162
BCBS OF AL
AL
01
—
P00181558
RAILROAD MEDICARE
—
Enumeration date
11/21/2005
Last updated
03/29/2013
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