Individual provider · Type 1 NPI

Rasim Omar Shah, MD

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1669224218 Active

Practice location

1125 N College Ave # SLOT100
Fayetteville, AR 72703-1908

Call (479) 713-8310 Map

Mailing address

4306 Garland Ave
Pine Bluff, AR 71603-4638

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669224218

Rasim Omar Shah, MD's National Provider Identifier is 1669224218, issued on Apr 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 4, 2024.