NPI 1053713180

Shakur Ali Sobhan, PAC

Practitioner Physician Assistant Beckley, WV

Practice location

Address: 405 Carriage Dr, Beckley, WV 25801-2805
Phone: (304) 250-0226

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 01842 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1053713180
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2014
Record last updated: 19 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.