Individual
SAYED SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2206 E 52ND ST, STE A, DAVENPORT, IA 52807-2790
(563) 355-7411
(563) 355-7431
Mailing address
2206 E 52ND ST STE A, DAVENPORT, IA 52807-2790
(563) 355-7411
(563) 355-7431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35468
IA
208M00000X
Hospitalist Physician
35468
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110953
—
IL
05
—
0568998
—
IA
01
—
101982
HEALTH ALLIANCE
—
01
—
318499
COVENTRY
—
05
—
421060724003
—
IL
01
—
421060724A6
JOHN DEERE IN RI COUNTY
IL
01
—
8122859
IL BC/BS
IL
01
—
95184
IA BC/BS SEEN IN MOLINE
IL
01
—
95185
IA BC/BS SEEN IN RI
IA
01
—
99622
WELLMARK
—
01
—
IL01A6
JOHN DEERE EDI# RI COUNTY
IL
01
—
P00452391
RR MEDICARE
IL
Enumeration date
09/23/2005
Last updated
03/04/2014
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