Provider Demographics
NPI:1306532965
Name:PASHA, SHAMSHER ALI (MD, MBBS)
Entity type:Individual
Prefix:DR
First Name:SHAMSHER
Middle Name:ALI
Last Name:PASHA
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:221 MIDDLE NECK RD APT L6
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1130
Mailing Address - Country:US
Mailing Address - Phone:516-469-8973
Mailing Address - Fax:
Practice Address - Street 1:8300 FLOYD CURL DR # 4A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3931
Practice Address - Country:US
Practice Address - Phone:210-450-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10082962208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery