Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shakur Ali Sobhan, PA-C

Individual provider Physician Assistant · NPI 1053713180

Shakur Ali Sobhan, PA-C is a Physician Assistant in Beckley, West Virginia. Qualified in 2013, 13 years ago. Practices with Dembal Heart and Vascular PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
13
Licensed in
WV
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

405 Carriage Dr
Beckley, WV 25801-2805
Phone: (304) 250-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 01842 (WV)

Record details

NPI number1053713180
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESSeptember 19, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Dembal Heart And Vascular Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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