Healthcare Provider Details
I. General information
NPI: 1992795769
Provider Name (Legal Business Name): SHIFA PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2005
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 MONARCH ST STE 210
LEXINGTON KY
40513-1945
US
IV. Provider business mailing address
270 FIRST ST
CHAVIES KY
41727-9091
US
V. Phone/Fax
- Phone: 859-223-0007
- Fax: 859-223-0057
- Phone: 606-487-8188
- Fax: 606-487-0928
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASMA
H
MURAD
Title or Position: OWNER
Credential: M.D.
Phone: 606-487-8188