Neil Shah, | |
3805 Mccain Park Dr Ste 104, North Little Rock, AR 72116-7813 | |
(501) 414-6753 | |
(501) 209-4205 |
Full Name | Neil Shah |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 3805 Mccain Park Dr Ste 104, North Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417454075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A164760 (California) | Secondary |
208D00000X | General Practice | A164760 (California) | Secondary |
208D00000X | General Practice | E-14796 (Arkansas) | Primary |
Entity Name | Mao Inhibitors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992454094 PECOS PAC ID: 5698145613 Enrollment ID: O20230106002016 |
Mailing Address | Practice Location Address |
---|---|
Neil Shah, 5158 Clareton Dr Unit 1602, Agoura Hills, CA 91376-7086 Ph: () - | Neil Shah, 3805 Mccain Park Dr Ste 104, North Little Rock, AR 72116-7813 Ph: (501) 414-6753 |
Sarah Gray-staples, General Practice Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-1000 | |
Dr. James Russell Hildebrand, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr # 126, Bldg. 111, Room 24, North Little Rock, AR 72114 Phone: 501-257-2023 Fax: 501-257-2026 | |
Mr. William Eugene Owens Jr., M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 7104 Sequoyah Lane, North Little Rock, AR 72116 Phone: 501-834-0755 |