Provider Demographics
NPI:1053791467
Name:SHAHI, DIWAS (MD)
Entity type:Individual
Prefix:
First Name:DIWAS
Middle Name:
Last Name:SHAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-5864
Mailing Address - Fax:562-655-8652
Practice Address - Street 1:420 LOWELL DRIVE 5TH FLOOR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3580
Practice Address - Country:US
Practice Address - Phone:256-265-5864
Practice Address - Fax:562-655-8652
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2023-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL42250207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease