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

Shannon Petrus Zehtaban, MD

Individual provider Surgery Physician · NPI 1124524699

Shannon Petrus Zehtaban, MD is a General Surgery in Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 2018, 8 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389
Phone: (501) 227-9080
Fax: (501) 227-0410
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E-16971 (AR)

Record details

NPI number1124524699
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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