Provider Demographics
NPI:1215196233
Name:NAOMAN, SHAHLA GUL (MD)
Entity type:Individual
Prefix:
First Name:SHAHLA
Middle Name:GUL
Last Name:NAOMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAHLA
Other - Middle Name:
Other - Last Name:GULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1710 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7303
Mailing Address - Country:US
Mailing Address - Phone:870-262-1660
Mailing Address - Fax:870-262-1664
Practice Address - Street 1:255 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7335
Practice Address - Country:US
Practice Address - Phone:870-262-1660
Practice Address - Fax:870-262-1664
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7098207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease