Individual
DR. SYED S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-9642
(859) 323-6047
(859) 257-3873
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37850
KY
208M00000X
Hospitalist Physician
37850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387593
BCBS
KY
05
—
1840658000
—
WV
05
—
2568798
—
OH
01
—
50010577
PASSPORT
KY
05
—
64068448
—
KY
Enumeration date
09/30/2005
Last updated
12/21/2022
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