Individual
NEIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3805 MCCAIN PARK DR STE 104, NORTH LITTLE ROCK, AR 72116-7813
(501) 414-6753
(501) 209-4205
Mailing address
5158 CLARETON DR UNIT 1602, AGOURA HILLS, CA 91376-7086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A164760
CA
208D00000X
General Practice Physician
A164760
CA
208D00000X
General Practice Physician
Primary
E-14796
AR
Other
Enumeration date
04/10/2018
Last updated
09/03/2024
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