Shah, Bushra
Shah, Bushra is an individual health care provider with primary practice located at 1 Saint Vincent Cir Suite 210, Little Rock AR 72205-5405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Shah, Bushra can be contacted via phone (501) 552-4777.Contact Information
Primary practice address
1 Saint Vincent Cir Suite 210
Little Rock AR 72205-5405
Phone: (501) 552-4777
Fax: (501) 552-4570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | E-3672 | Arkansas |
Profile Details
NPI number | 1417910670 |
---|---|
LBN Legal business name | Shah, Bushra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2006 |
Last updated | Dec 21st, 2015 - about 9 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 | 1417910670 | NPPES |
Arkansas | MEDICAID | 155015001 | |
Arkansas | Other | 4070011000 | |
Arkansas | Other | P00185272 |
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