Provider Demographics
NPI:1265733711
Name:SHAKIL, SHAMS ABDUS (MD)
Entity type:Individual
Prefix:
First Name:SHAMS
Middle Name:ABDUS
Last Name:SHAKIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UK DIVISION OF HEMATOLOGY BMT
Mailing Address - Street 2:800 ROSE ST, CC405
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0093
Mailing Address - Country:US
Mailing Address - Phone:859-323-5768
Mailing Address - Fax:859-257-7715
Practice Address - Street 1:UK DIVISION OF HEMATOLOGY BMT
Practice Address - Street 2:800 ROSE ST, CC405
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0093
Practice Address - Country:US
Practice Address - Phone:859-257-6006
Practice Address - Fax:859-257-6002
Is Sole Proprietor?:No
Enumeration Date:2010-11-14
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY46944207RH0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine