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1730157561
SANJIV A SHAH
PRATTVILLE, AL
NPI
1730157561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 00026760)
Enumeration Date
2006-03-09
Last Update Date
2010-02-18
Business Address
Dr. SANJIV A SHAH M.D.
124 S MEMORIAL DR
PRATTVILLE, AL 36067-3619
Phone number: 334-613-3680
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Mailing Address
Dr. SANJIV A SHAH M.D.
4371 NARROW LANE RD SUITE 100
MONTGOMERY, AL 36116-2971
Phone number: 334-613-3680
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