Alam, Shamsul

Alam, Shamsul is an individual health care provider with primary practice located at 2618 Se J St Suite # 2 & 4, Bentonville AR 72712-3767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Alam, Shamsul can be contacted via phone (479) 271-9393.

Contact Information

Primary practice address
2618 Se J St Suite # 2 & 4 Bentonville AR 72712-3767
Phone: (479) 271-9393
Fax: (479) 271-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E4954 Arkansas

Profile Details

NPI number 1912953373
LBN Legal business name Alam, Shamsul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 28th, 2015 - about 11 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 1912953373 NPPES
Oklahoma MEDICAID 200277530A
Oklahoma MEDICAID 168252001
Oklahoma Other 27959
Oklahoma MEDICAID A68252001

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