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BUSHRA SHAH MD PLLC NPI 1992239479


NPI Information

NPI: 1992239479
Provider Name: BUSHRA SHAH MD PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
100 VIGNE DR
LITTLE ROCK, AR
ZIP 72223
Phone: (501) 552-4777
Get Directions

BUSHRA SHAH MD PLLC is a geriatric medicine internal medicine in Little Rock, AR. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. BUSHRA SHAH MD PLLC NPI is 1992239479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 VIGNE DR
LITTLE ROCK, AR
ZIP 72223-581
Phone: (501) 552-4777

The provider's authorized official is Bushra Shah .
The authorized official title is Owner and has the following contact phone number (501) 552-4777.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineE-3672ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15M862MEDICARE PINARKANSAS

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: 4/28/2024

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