Dr Sanjiv A Shah, MD | |
124 S Memorial Dr, Prattville, AL 36067-3619 | |
(334) 613-3680 | |
(334) 613-3685 |
Full Name | Dr Sanjiv A Shah |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 124 S Memorial Dr, Prattville, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730157561 | NPI | - | NPPES |
051002492 | Other | BLUE CROSS BLUE SHIELD | |
009932223 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00026760 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center South | Montgomery, AL | Hospital |
Baptist Medical Center East | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
Mailing Address | Practice Location Address |
---|---|
Dr Sanjiv A Shah, MD 4371 Narrow Lane Rd, Suite 100, Montgomery, AL 36116-2971 Ph: (334) 613-3680 | Dr Sanjiv A Shah, MD 124 S Memorial Dr, Prattville, AL 36067-3619 Ph: (334) 613-3680 |
Dr. Lucius Bedford Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Mcqueen Smith Rd N, Suite 105, Prattville, AL 36066 Phone: 334-361-7656 Fax: 334-361-4665 | |
Dr. Abby Lea Harris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 E Main St, Prattville, AL 36066 Phone: 334-595-8610 Fax: 334-595-8611 | |
Mr. Daniel Edward Banach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Medical Center Ct, Prattville, AL 36066 Phone: 334-361-3090 Fax: 334-361-2090 | |
Dr. James Robert Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Mcqueen Smith Rd N, Suite 101, Prattville, AL 36066 Phone: 334-365-5987 Fax: 334-365-5315 | |
Dr. Rachel M Chance, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1595 E Main St, Prattville, AL 36066 Phone: 334-361-7306 Fax: 334-361-8966 | |
Dr. James Carson Byrd, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1807 Station Dr Ste C, Prattville, AL 36066 Phone: 334-491-1901 Fax: 334-491-1903 | |
Mrs. Munazzah Abdullah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 124 S Memorial Dr, Prattville, AL 36067 Phone: 334-365-0651 |