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

Dr. Shehbaz Syed Shukoor, MD

Individual provider Nephrology Physician · NPI 1295398261

Dr. Shehbaz Syed Shukoor, MD is a Nephrology in Southaven, Mississippi. Qualified in 2016, 10 years ago. Practices with Mittal Kidney and Dialysis, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
10
Licensed in
MS, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7620 Clarington Cv
Southaven, MS 38671
Phone: (901) 767-0101
Fax: (901) 767-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 33111 (MS)
Nephrology Physician Taxonomy 207RN0300X · Licence 70651 (TN)

Record details

NPI number1295398261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 1, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mittal Kidney And Dialysis, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare