Individual
HANIA ZIAD AL-SHAHROURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DODSON AVE, STE 280, FORT SMITH, AR 72901-5182
(479) 709-7480
(479) 709-7479
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E7274
AR
207RN0300X
Nephrology Physician
M5612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185615502
—
TX
01
—
185615503
CSHCN
TX
01
—
8AC881
BCBS
TX
Enumeration date
12/04/2006
Last updated
11/23/2016
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