Provider Demographics
NPI:1861480030
Name:SHASHY, SARA S (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:S
Last Name:SHASHY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1722 PINE ST
Mailing Address - Street 2:STE 700
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1103
Mailing Address - Country:US
Mailing Address - Phone:334-834-1300
Mailing Address - Fax:334-834-8347
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:STE 700
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-834-1300
Practice Address - Fax:334-834-8347
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
AL13202207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALAS2722747OtherDEA
ALAS2722747OtherDEA