Shah, Ayesha Saeed

Shah, Ayesha Saeed is an individual health care provider with primary practice located at 108 W Tyler Ave , West Memphis AR 72301-4221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shah, Ayesha Saeed can be contacted via phone (870) 732-1191.

Contact Information

Primary practice address
108 W Tyler Ave West Memphis AR 72301-4221
Fax: (870) 732-4091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-0230 Arkansas

Profile Details

NPI number 1225039308
LBN Legal business name Shah, Ayesha Saeed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 8th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225039308 NPPES
Arkansas MEDICAID 127749001

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