Individual
DR. KUMUDCHANDRA J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 RAINBOW DR, GADSDEN, AL 35903
(256) 547-4931
(256) 547-1726
Mailing address
PO BOX 7005, 1401 RAINBOW DR, GADSDEN, AL 35903
(256) 547-4931
(256) 547-1726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10614
AL
207RP1001X
Pulmonary Disease Physician
Primary
10614
AL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
10614
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151550321
BCBS
—
Enumeration date
11/22/2006
Last updated
07/24/2013
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