Provider Demographics
NPI:1487780755
Name:ALI, SHAMSA ARSHAD (MD)
Entity type:Individual
Prefix:
First Name:SHAMSA
Middle Name:ARSHAD
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:28001 SCHOENHERR RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4396
Mailing Address - Country:US
Mailing Address - Phone:586-365-7555
Mailing Address - Fax:586-365-7560
Practice Address - Street 1:28001 SCHOENHERR RD STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4396
Practice Address - Country:US
Practice Address - Phone:586-365-7555
Practice Address - Fax:586-365-7560
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2024-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101847207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1011584Medicaid
MI1487780755Medicaid
MS00882595Medicaid