Individual provider · Type 1 NPI
Syed Ahmed Shah, MD
Neurology Physician · Centralia, IL
NPI number
1508867300
Active
Practice location
1007 Ml King Dr, Suite 1
Centralia, IL 62801-3003
Fax (618) 533-9588
Mailing address
PO Box 431
Centralia, IL 62801-9107
Other practice locations
- 1007 S 42nd St Ste 2, Mount Vernon, IL 62864-6217 · (618) 241-9587
- 929 Stacey Burk Dr, Flora, IL 62839-3241 · (618) 533-9577
- 705 S Grand St, Nashville, IL 62263-1534 · (618) 533-9577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 036097235 (IL) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
About NPI 1508867300
Syed Ahmed Shah, MD's National Provider Identifier is 1508867300, issued on Aug 3, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Centralia, IL. The record was last updated on Sep 9, 2021.