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Shamsul Alam Md Pa
Nephrology Physician in Bentonville, Arkansas
NPI 1639487564

Shamsul Alam Md Pa is a Nephrology Physician based in Bentonville, AR and is specialized in Nephrology. Shamsul Alam Md Pa practices in Bentonville, AR. The NPI Number for Shamsul Alam Md Pa is 1639487564 and holds a License No. E4954 (Arkansas).

The current practice location address for Shamsul Alam Md Pa is 2618 Se J St, Bentonville, AR and can be reached out via phone at 479-271-9393 and via fax at 479-271-9393.

Location: 2618 Se J St, Bentonville, AR, 72712-1037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639487564
Provider Name
Shamsul Alam Md Pa
Credential
Provider Entity Type
Organization
Address
2618 Se J St, Bentonville, AR, 72712-1037
Phone Number
479-271-9393
Fax Number
479-271-9393
Provider Enumeration Date
09/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5G686 01 MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2618 Se J St
City
Bentonville
State
Arkansas
Zip
72712-3767
Phone Number
479-271-9393
Fax Number
479-271-9393
person
Provider Business Mailing Address Details
Address
2618 Se J St
City
Bentonville
State
Arkansas
Zip
72712-3767
Phone Number
479-271-9393
Fax Number
479-271-9393
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
E4954 (Arkansas)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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