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Individual

SYED YOUSAF ALI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL PARK BLVD STE 205E, BRISTOL, TN 37620-7507
(423) 844-5520
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72796
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
72796
TN
207RP1001X
Pulmonary Disease Physician
Primary
72796
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2019
Last updated
07/16/2025
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