BUSHRA SHAH

Address: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
Phone: 5015524777

BUSHRA SHAH (NPI# 1417910670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417910670
Entity Type 1 - Individual
Full Name BUSHRA SHAH
Credential M.D.
Practice Address 1 Saint Vincent Cir
Suite 210
Little Rock
AR 72205-5405
Practice Telephone 5015524777
Practice Fax Number 5015524570
Mailing Fax Number 5015524448
Enumeration Date 04/10/2006
Last Update Date 12/21/2015
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
E-3672 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 155015001 05
AR MEDICARE RAILROAD P00185272 01
AR QUALCHOICE 4070011000 01

Office Location

Street Address 1 SAINT VINCENT CIR
SUITE 210
City LITTLE ROCK
State AR
Zip Code 72205-5405

Providers with the same location

NPI Name Address
1619970027 DR. FREDERICK HAMPTON ROY SR. 1 Saint Vincent Cir, Ste 360, Little Rock, AR 72205-5405
1609872175 DR. JOSEPH F FARMER 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
1770572935 AVRAM ZOLTEN 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
1356330419 JULIE G ALLEN 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
1215927231 ELIZABETH JOHNSON 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
1639151467 MARY ANN GINETTE 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
1639149040 DWIGHT A LINDLEY 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405
1417927807 JOHN E DIETRICH 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405
1467422766 DR. KRISTY S. KING 1 Saint Vincent Cir, Suite 330, Little Rock, AR 72205-5405
1881667921 JOHN A BALDRIDGE 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405

Competitor

Search similar physicians

City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.