Provider Demographics
NPI:1992777478
Name:ALI, SHAHEEN S (MD)
Entity type:Individual
Prefix:
First Name:SHAHEEN
Middle Name:S
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4460
Mailing Address - Country:US
Mailing Address - Phone:775-322-3393
Mailing Address - Fax:775-322-3385
Practice Address - Street 1:645 N ARLINGTON AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4460
Practice Address - Country:US
Practice Address - Phone:775-322-3393
Practice Address - Fax:775-322-3385
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2024-01-31
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Provider Licenses
StateLicense IDTaxonomies
NV11132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVI17880Medicare UPIN