Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 244876 | NY |
Y | 207VX0201X | Gynecologic Oncologist | 30991 | AL |
NPI | 1275791592 |
---|---|
Provider Name | Monjri Manhar Shah |
First Address | Mountain Brk, AL 35223-2457 |
Second Address | Birmingham, AL 35209-6899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 04/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05031798 | (05) | MS |
051118098 | BCBS (01) | AL |
051118103 | BCBS (01) | AL |
051118104 | BCBS (01) | AL |
051118106 | BCBS (01) | AL |
051118108 | BCBS (01) | AL |
051118109 | BCBS (01) | AL |
051118110 | BCBS (01) | AL |
129379 | (05) | AL |
129380 | (05) | AL |
129381 | (05) | AL |
129382 | (05) | AL |
129383 | (05) | AL |
129384 | (05) | AL |
129385 | (05) | AL |