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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1417910670 NPPES
Arkansas MEDICAID 155015001
Arkansas Other 4070011000
Arkansas Other P00185272

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