Individual
DR. MOHAMED BASHAR ABOU SHALA
Active
Individual
DR. MOHAMED BASHAR ABOU SHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
26593
TN
207RI0011X
Interventional Cardiology Physician
Primary
26593
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015934
TLC
TN
05
—
00116832
—
MS
01
—
02100041401
QUALCHOICE
—
05
—
3094124
—
TN
01
—
4146206
BCBS
TN
01
—
5188055
AETNA
TN
01
—
97426
BCBS
AR
01
—
P00378331
RAIL ROAD MEDICARE
TN
01
—
P00393920
RAIL ROAD MEDICARE
MS
Enumeration date
12/27/2005
Last updated
02/14/2014
Update your record
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