MEDICARE: SHAHEEN S ALI M.D.

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	207R00000X	Internal Medicine Physician	11132	NV

General Provider Information

NPI Number	:	1992777478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHEEN S ALI M.D.

Provider Business Mailing Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	SUITE 600
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-322-3393
Fax Number	:	775-322-3385

Provider Business Practice Location Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	SUITE 600
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-322-3393
Fax Number	:	775-322-3385

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	01/31/2024

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Directions to “ SHAHEEN S ALI M.D.” Practice Location

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