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 1:16 HOSPITAL CIR STE C
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7343
Mailing Address - Country:US
Mailing Address - Phone:870-307-0369
Mailing Address - Fax:870-307-0461
Practice Address - Street 1:16 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7343
Practice Address - Country:US
Practice Address - Phone:870-307-0369
Practice Address - Fax:970-307-0461
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7098207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease