Provider Demographics
NPI:1932939329
Name:SHAH, SYED MUHAMMAD OBAIDA (MD)
Entity type:Individual
Prefix:DR
First Name:SYED MUHAMMAD OBAIDA
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 UNION AVE APT 350
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6677
Mailing Address - Country:US
Mailing Address - Phone:901-450-8488
Mailing Address - Fax:
Practice Address - Street 1:1169 UNION AVE APT 3501169
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6651
Practice Address - Country:US
Practice Address - Phone:901-450-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000000207RN0300X
TN0000000000000207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology