Rasool, Shuja
Rasool, Shuja is an individual health care provider with primary practice located at 2205 W Main St , Russellville AR 72801-2759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rasool, Shuja can be contacted via phone (479) 968-4311.Contact Information
Primary practice address
2205 W Main St
Russellville AR 72801-2759
Phone: (479) 968-4311
Fax: (479) 968-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E-7474 | Arkansas |
Profile Details
| NPI number | 1588841340 |
|---|---|
| LBN Legal business name | Rasool, Shuja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Aug 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588841340 | NPPES |
| Arkansas | MEDICAID | 193879001 |
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