Bushra Shah in Little Rock - Geriatric Medicine

Bushra Shah - NPI 1417910670

Bushra Shah is a Geriatric Medicine in Little Rock, Arkansas. Bushra Shah practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Bushra Shah is 1417910670. The last update date is 2015-12-21.

Bushra Shah's current location address is 1 Saint Vincent Cir, Little Rock, Arkansas. You can contact this provider via phone number 5015524777 and fax number 5015524448. The mailing address for Bushra Shah is 1 Saint Vincent Cir, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bushra Shah
Address 1 Saint Vincent Cir, Little Rock, Arkansas
Phone Number 5015524777
Fax Number 5015524448
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417910670
Provider Enumeration Date 2006-04-10
Last Updated Date 2015-12-21

Provider Mailing Address Detail

Address 1 Saint Vincent Cir
City Little Rock
State Arkansas (AR)
Post Code 722055405
Phone Number 5015524777
Fax Number 5015524448

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No E-3672
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
155015001 AR --
4070011000 AR QUALCHOICE
P00185272 AR MEDICARE RAILROAD

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FAQs about Bushra Shah

What is the unique identifier code issued to Bushra Shah by the Centers for Medicare & Medicaid Services (CMS)?

The Bushra Shah has been assigned the NPI (National Provider Identifier) 1417910670. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Bushra Shah's facilities are geographically located?

The facilities of Bushra Shah are physically situated at the following location: 1 Saint Vincent Cir, Little Rock, AR, 722055405.

What is the Bushra Shah's specialty and taxonomy code?

The Bushra Shah's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.

On what date did Bushra Shah receive its 1417910670 assignment from the Centers for Medicare & Medicaid Services?

The Bushra Shah was assigned its 1417910670 on 2006-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Bushra Shah last refreshed?

The information related to the Bushra Shah, including its address, specialty, and other relevant details, was last updated on 2015-12-21.

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