Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sanjiv A Shah, MD

Individual provider Family Medicine Physician · NPI 1730157561

Dr. Sanjiv A Shah, MD is a Family Practice in Prattville, Alabama. Qualified in 2001, 25 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
25
Licensed in
AL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

124 S Memorial Dr
Prattville, AL 36067-3619
Phone: (334) 613-3680
Fax: (334) 613-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 00026760 (AL)

Record details

NPI number1730157561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESFebruary 18, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prattville