| Bushra Shah, MD | |
|
1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405 | |
| (501) 552-4777 | |
| (501) 552-4570 |
| Full Name | Bushra Shah |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1 Saint Vincent Cir, 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 |
|---|---|---|---|
| 1417910670 | NPI | - | NPPES |
| 155015001 | Medicaid | AR | |
| 4070011000 | Other | AR | QUALCHOICE |
| P00185272 | Other | AR | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | E-3672 (Arkansas) | Primary |
| Entity Name | St Vincent Infirmary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316991847 PECOS PAC ID: 5698674166 Enrollment ID: O20040103000052 |
| Entity Name | Bushra Shah Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992239479 PECOS PAC ID: 0345517264 Enrollment ID: O20170525000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Bushra Shah, MD 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405 Ph: (501) 552-4777 | Bushra Shah, MD 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405 Ph: (501) 552-4777 |
Lonnie E Harrison, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889 | |
Muthu Veera Kumaran, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932 | |
Tanvi Harishbhai Patel, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906 | |
Gaurav Dhar, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Anthony R Giglia Iii, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795 | |
Brian Bean, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129 | |
Joseph Wayne Forney Sr., M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017 |