MEDICARE: MUHAMMAD YOUNUS SHAJAAT 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	E-3419	AR

General Provider Information

NPI Number	:	1417995457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD YOUNUS SHAJAAT MD

Provider Business Mailing Address
First Line	:	2101 WELLINGTON WOODS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2077
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 BRADEN ST
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-3721
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/08/2007

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