Sameer R. Shelat, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-3622 Issued in AR

Practice address

4125, Rhinehart Road
Pine Bluff, AR 71601

Phone

(870) 540-0204

NPI assigned

Apr 8, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1780003665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 STATESMAN DRIVE",
            "address_2": "STATESMAN DRIVE",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "469-524-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125, RHINEHART ROAD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71601",
            "telephone_number": "870-540-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELAT",
        "first_name": "SAMEER",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jainil Jatin Shah, M.D.
• Syed Sheheryar Ahmed Shah, MD
• Tabeer Shaikh, M.D.
• Neha Sharma
• Jazzmine Shavers
• Mickey K. Shell, MS
• Shakeysha B. Shelton
• Jena Shepherd
• William T Shepherd, D.D.S.
• Stephen Donald Shorts, MD

• Internal Medicine Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.