MEDICARE: DR. SYED ASIF SHAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35299	IA
2	207R00000X	Internal Medicine Physician	3984	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275514218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED ASIF SHAH MD

Provider Business Mailing Address
First Line	:	6709 S MINNESOTA AVE STE 202
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2593
Country	:	US
Telephone Number	:	605-271-2277
Fax Number	:	605-275-0066

Provider Business Practice Location Address
First Line	:	6709 S MINNESOTA AVE STE 202
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2593
Country	:	US
Telephone Number	:	605-271-2277
Fax Number	:	605-275-0066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	05/05/2026

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Directions to “ DR. SYED ASIF SHAH MD” Practice Location

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