Dr. Shehbaz Syed Shukoor, M.D.
Internal Medicine, Nephrology in Southaven, MS. Individual provider (NPI-1).
NPI number1295398261
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1295398261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shehbaz Syed Shukoor
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2019
- Certification date
- Jul 25, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 33111 | MS | Yes |
| 207RN0300X | Internal Medicine, Nephrology | 70651 | TN |
Practice location
7620 Clarington CoveSouthaven, MS 38671
Phone 901-767-0101 · Fax 901-767-0304
Mailing address
7260 Clarington CoveSouthaven, MS 38671
Phone 901-767-0101 · Fax 901-767-0304
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