Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 46944 | KY |
N | 111NI0900X | Internist | 46944 | KY |
Y | 207RH0000X | Hematologist | 46944 | KY |
NPI | 1265733711 |
---|---|
Provider Name | Shams Abdus Shakil |
First Address | Lexington, KY 40536-0093 |
Second Address | Lexington, KY 40536-0093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2010 |
Last Update Date | 02/04/2014 |