Individual
SYED SHEHERYAR AHMED SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 W 43RD AVE STE A, PINE BLUFF, AR 71603-7010
(870) 541-6020
(870) 541-6021
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33819
OK
207RN0300X
Nephrology Physician
2021011606
MO
207RN0300X
Nephrology Physician
Primary
E-16280
AR
Other
Enumeration date
07/04/2018
Last updated
07/13/2023
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