MEDICARE: ALI SHAKIR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	35084486	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346244118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI SHAKIR MD

Provider Business Mailing Address
First Line	:	103 5TH ST SE
Second Line	:	STE S
City	:	BARBERTON
State	:	OH
Zip	:	44203-4260
Country	:	US
Telephone Number	:	330-753-3232
Fax Number	:	330-753-3234

Provider Business Practice Location Address
First Line	:	6651 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720
Country	:	US
Telephone Number	:	330-498-9865
Fax Number	:	330-498-9869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/02/2016

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Directions to “ ALI SHAKIR MD” Practice Location

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