| Shah Family Medicine | |
|
1801 W 40th Ave Suite 4b Pine Bluff AR 71603-6940 | |
| (870) 535-4640 | |
| Not Available |
| Full Name | Shah Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Robert P Atkinson (PRESIDENT) |
| Authorized Official Contact | 8705417269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Family Medicine 1801 W 40th Ave Suite 4b Pine Bluff AR 71603-6940 Ph: (870) 535-4640 | Shah Family Medicine 1801 W 40th Ave Suite 4b Pine Bluff AR 71603-6940 Ph: (870) 535-4640 |
| NPI Number | 1730351941 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730351941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E4113 (Arkansas) | Primary |
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