BUSHRA SHAH MD PLLC (NPI# 1992239479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992239479 |
| Entity Type | Organization |
| Organization Name | BUSHRA SHAH MD PLLC |
| Practice Address |
100 Vigne Dr Little Rock AR 72223-4581 |
| Practice Telephone | 5015524777 |
| Mailing Telephone | 5015524777 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | BUSHRA SHAH (OWNER) |
| Authorized Official Telephone | 5015524777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
E-3672 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
100 VIGNE DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-4581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1306816087 | Thomas Darrell Cain | Internal Medicine | 10001 Lile Drive, Little Rock, AR 72205-6217 | 2006-01-25 |
| 1720073349 | David Dongjie Liu | Internal Medicine | 1 St Vincent Cir, Suite 210, Little Rock, AR 72205-5405 | 2005-09-20 |
| 1023569852 | Evgueni Roudachevski, D.o. | Internal Medicine | 11912 Kanis Rd, Suite F2, Little Rock, AR 72211-3733 | 2016-10-17 |
| 1083976534 | Veronica Alicia Pinto Miranda | Internal Medicine | 4301 W Markham St, Little Rock, AR 72205 | 2012-06-11 |
| 1114055712 | Parkway Health Center Inc. | Internal Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2007-03-02 |
| 1003941519 | Shannon G Mclaughlin | Internal Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2007-02-23 |
| 1447385422 | Claudia M Tolleson | Internal Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2007-02-22 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
Please comment or provide details below to improve the information on BUSHRA SHAH MD PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.