Basic Information
| Provider Information | |||||||||
| NPI: | 1265733711 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHAKIL | ||||||||
| FirstName: | SHAMS | ||||||||
| MiddleName: | ABDUS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | UK DIVISION OF HEMATOLOGY BMT | ||||||||
| Address2: | 800 ROSE ST, CC405 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593235768 | ||||||||
| FaxNumber: | 8592577715 | ||||||||
| Practice Location | |||||||||
| Address1: | UK DIVISION OF HEMATOLOGY BMT | ||||||||
| Address2: | 800 ROSE ST, CC405 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592576006 | ||||||||
| FaxNumber: | 8592576002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2010 | ||||||||
| LastUpdateDate: | 04/02/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0000X | 46944 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207R00000X | 46944 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.