Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shamsul Alam MD PA

Organization Nephrology Physician · NPI 1639487564

Shamsul Alam MD PA is a Nephrology Physician in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2618 SE J St SUITE#4
Bentonville, AR 72712-3767
Phone: (479) 271-9393
Fax: (479) 271-9393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence E4954 (AR)

Record details

NPI number1639487564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shamsul Alam — President · (479) 271-9393
Other names The Kidney Clinic
NPI enumeratedSeptember 14, 2010
Last updated in NPPESMarch 2, 2016
Mailing addressPo Box 1037, Bentonville, AR 72712-1037

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