Dr Shamsul Alam, MD | |
2618 Se J St, Suite # 2 & 4, Bentonville, AR 72712-3767 | |
(479) 271-9393 | |
(479) 271-0141 |
Full Name | Dr Shamsul Alam |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 39 Years |
Location | 2618 Se J St, Bentonville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912953373 | NPI | - | NPPES |
200277530A | Medicaid | OK | |
168252001 | Medicaid | AR | |
27959 | Other | OK | OKLAHOMA STATE MEDICAL LICENSE |
A68252001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | E4954 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Bentonville | Bentonville, AR | Dialysis facility |
Davita - Springdale | Springdale, AR | Dialysis facility |
Davita - Fayetteville | Fayetteville, AR | Dialysis facility |
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shamsul Alam Md Pa | 6002004199 | 3 |
Shamsul Alam Md Pa | 6002004199 | 3 |
Entity Name | Northwest Benton County Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
Entity Name | Shamsul Alam Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639487564 PECOS PAC ID: 6002004199 Enrollment ID: O20101215000992 |
Mailing Address | Practice Location Address |
---|---|
Dr Shamsul Alam, MD 11149 Cobblestone, Bentonville, AR 72712-7379 Ph: (479) 271-9393 | Dr Shamsul Alam, MD 2618 Se J St, Suite # 2 & 4, Bentonville, AR 72712-3767 Ph: (479) 271-9393 |
Mr. Lance Lee Hamilton, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2618 Se J St, Ste 12, Bentonville, AR 72712 Phone: 479-715-6505 Fax: 479-340-0015 | |
Jose Gregorio Loyo-molina, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy, Suite 240a, Bentonville, AR 72712 Phone: 479-553-2200 Fax: 479-553-2909 | |
Dr. Najindra Maharjan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 811 Se 28th St, Suite 7, Bentonville, AR 72712 Phone: 479-271-9393 Fax: 479-271-0141 | |
Dr. Jamon R Pruitt, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy, Suite 240b, Bentonville, AR 72712 Phone: 479-553-2200 Fax: 479-553-2909 | |
Rupali Abhijit Paradkar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937 | |
Daniel Young, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 240b, Bentonville, AR 72712 Phone: 479-273-9173 | |
Dr. Jason M Bailey, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712 Phone: 479-553-3310 Fax: 479-553-1945 |