Individual
DR. SHUJA RASOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-4311
(479) 968-4399
Mailing address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-4311
(479) 968-4399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E-7474
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193879001
—
AR
Enumeration date
01/23/2008
Last updated
08/22/2023
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