Organization
BUSHRA SHAH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSHRA SHAH MD (OWNER)
(501) 552-4777
Entity
Organization
Contact information
Practice address
100 VIGNE DR, LITTLE ROCK, AR 72223-4581
(501) 552-4777
Mailing address
100 VIGNE DR, LITTLE ROCK, AR 72223-4581
(501) 552-4777
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-3672
AR
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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