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SYED SHEHERYAR AHMED SHAH MD NPI 1174019905


NPI Information

NPI: 1174019905
Provider Name: SYED SHEHERYAR AHMED SHAH, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1420 W 43RD AVE STE A
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-6020
Get Directions

Syed Sheheryar Ahmed Shah, MD is a nephrology internal medicine in Pine Bluff, AR with 8 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Syed Sheheryar Ahmed Shah, MD NPI is 1174019905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 W 43RD AVE STE A
PINE BLUFF, AR
ZIP 71603-010
Phone: (870) 541-6020
Fax: (870) 541-6021

The NPI 1174019905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2018 and was last updated on 7/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine33819OKLAHOMANo
2207RN0300XInternal MedicineNephrology2021011606MISSOURINo
3207RN0300XInternal MedicineNephrologyE-16280ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.