Individual
DR. MUHAMMAD ASGHAR ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
(904) 259-7104
Mailing address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
(904) 259-7104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9655
ND
2084P0800X
Psychiatry Physician
Primary
ACN298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391400
—
FL
01
—
024663
BCBS ND PROVIDER NUMBER
ND
05
—
054519
—
ND
01
—
501Y3SH
BCBS MN PROVIDER NUMBER
ND
Enumeration date
06/06/2006
Last updated
03/07/2023
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