Healthcare Provider Details

I. General information

NPI: 1205723137
Provider Name (Legal Business Name): YASIR ALI ALSHEHRI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date: 04/20/2026
Reactivation Date: 08/06/2026

III. Provider practice location address

1501 N CAMPBELL AVE
TUSCON AZ
85724-5064
US

IV. Provider business mailing address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5064
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-4024
  • Fax:
Mailing address:
  • Phone: 305-320-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: