Shah, Syed Nayyar
Shah, Syed Nayyar is an individual health care provider with primary practice located at 1001 12Th Ave Ste 134 , Fort Worth TX 76104-3927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shah, Syed Nayyar can be contacted via phone (817) 880-6620.Contact Information
Primary practice address
1001 12Th Ave Ste 134
Fort Worth TX 76104-3927
Phone: (817) 880-6620
Fax: (817) 880-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L0931 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | L0931 | Texas |
Profile Details
| NPI number | 1720039480 |
|---|---|
| LBN Legal business name | Shah, Syed Nayyar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 22nd, 2024 - about 2 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 | 1720039480 | NPPES |
| Texas | Other | 310501YT79 | MEDICARE |
| Texas | MEDICAID | 1050387-01 | MEDICARE |
| Texas | Other | 86466K | MEDICARE |
| Texas | Other | 10032328 | MEDICARE |
| Texas | MEDICAID | 1050387-02 | MEDICARE |
| Texas | Other | 5919753 | MEDICARE |
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