| Dr Shehbaz Syed Shukoor, MD | |
|
7620 Clarington Cove, Southaven, MS 38671 | |
| (901) 767-0101 | |
| (901) 767-0304 |
| Full Name | Dr Shehbaz Syed Shukoor |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 7620 Clarington Cove, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295398261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 70651 (Tennessee) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 33111 (Mississippi) | Primary |
| Entity Name | Mittal Kidney And Dialysis, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831201466 PECOS PAC ID: 9830152958 Enrollment ID: O20041110000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shehbaz Syed Shukoor, MD 7260 Clarington Cove, Southaven, MS 38671 Ph: (901) 767-0101 | Dr Shehbaz Syed Shukoor, MD 7620 Clarington Cove, Southaven, MS 38671 Ph: (901) 767-0101 |
Shan Shah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Sohail A Minhas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671 Phone: 662-349-2442 Fax: 662-349-8551 | |
Dr. Jimmy Darrell Sneed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671 Phone: 901-271-1000 Fax: 901-271-4187 | |
Dr. Lily Herbert, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7680 Airways Blvd, Southaven, MS 38671 Phone: 662-349-1999 Fax: 662-349-9734 | |
Dr. Michael Henry Vaughan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Dr. Yadana Kyaw, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 363 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 662-349-0488 Fax: 901-850-1169 | |
Dr. Nabeel Hasan Khan, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222 Fax: 662-280-5541 |