Individual
DR. SYED AMIR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 474-7289
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11824R
LA
207R00000X
Internal Medicine Physician
11824R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683213
—
LA
Enumeration date
06/05/2006
Last updated
03/19/2019
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