Healthcare Provider Details

I. General information

NPI: 1568138980
Provider Name (Legal Business Name): TARRANT MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 SPRINGDALE LN
TARRANT AL
35217-2028
US

IV. Provider business mailing address

2038 SPRINGDALE LN
TARRANT AL
35217-2028
US

V. Phone/Fax

Practice location:
  • Phone: 205-841-7665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SIDDHARTH SHAH
Title or Position: PHYSICIAN OWNER
Credential:
Phone: 205-841-7665