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NPI Code Detail

MEDICARE: DR. PALAK NAINESHBHAI SHAH M.D

MEDICARE: DR. PALAK NAINESHBHAI SHAH M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125.057836IL
2207R00000XInternal Medicine Physician32652AL

General Provider Information

NPI Number : 1205147782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PALAK NAINESHBHAI SHAH M.D
Provider Business Mailing Address
First Line : 109 APPLETON LN
Second Line :
City : MADISON
State : AL
Zip : 35756-4162
Country : US
Telephone Number : 256-519-8282
Fax Number :
Provider Business Practice Location Address
First Line : 101 SIVLEY RD SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4421
Country : US
Telephone Number : 256-265-3880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 04/19/2017

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