Shoaib Neurological Services | |
2521 Glenn Hendren Dr Ste 411 Liberty MO 64068-3388 | |
(816) 407-9232 | |
(816) 407-9239 |
Full Name | Shoaib Neurological Services |
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Speciality | Psychiatry & Neurology |
Location | 2521 Glenn Hendren Dr Ste 411, Liberty, Missouri |
Authorized Official Name and Position | Muhammad Asim Shoaib (PRESIDENT) |
Authorized Official Contact | 2707377021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shoaib Neurological Services 2521 Glenn Hendren Dr Ste 411 Liberty MO 64068-3388 Ph: (816) 407-9232 | Shoaib Neurological Services 2521 Glenn Hendren Dr Ste 411 Liberty MO 64068-3388 Ph: (816) 407-9232 |
NPI Number | 1386832921 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 08/30/2023 |
Certification Date | 08/30/2023 |
Medicare PECOS PAC ID | 3476639295 |
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Medicare Enrollment ID | O20170207001284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386832921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 40282 (Kentucky) | Primary |
Provider Name | Muhammad A Shoaib |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881672376 PECOS PAC ID: 2062422330 Enrollment ID: I20170220001844 |
Provider Name | Taryn Alyssa Beshore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932871811 PECOS PAC ID: 2062804057 Enrollment ID: I20220301000475 |
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