Shah, Iqtidar Ul-Hassan
Shah, Iqtidar Ul-Hassan is an sole proprietor health care provider with primary practice located at 4004 Medical Pkwy , Greenville TX 75401-7854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shah, Iqtidar Ul-Hassan can be contacted via phone (903) 455-4485.Contact Information
Primary practice address
4004 Medical Pkwy
Greenville TX 75401-7854
Phone: (903) 455-4485
Fax: (903) 455-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E0365 | Texas |
Profile Details
| NPI number | 1114192671 |
|---|---|
| LBN Legal business name | Shah, Iqtidar Ul-Hassan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | May 20th, 2008 - about 16 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 | 1114192671 | NPPES |
| Texas | MEDICAID | 138053707 |
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