DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALI SHAHSAMAND MD

MEDICARE: ALI SHAHSAMAND 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
12084P0800XPsychiatry Physician175163FL

General Provider Information

NPI Number : 1871280339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI SHAHSAMAND MD
Provider Business Mailing Address
First Line : 300 PORT CHARLOTTE DR
Second Line :
City : PONTE VEDRA
State : FL
Zip : 32081-0526
Country : US
Telephone Number : 443-929-0357
Fax Number :
Provider Business Practice Location Address
First Line : 4225 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5826
Country : US
Telephone Number : 786-828-7552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2023
Last Update Date : 01/13/2026

Similar Medicare Providers

1285094813 — SOUTHERN WINDS HOSPITAL LLC
Practice Location Address:
4225 W 20TH AVE
HIALEAH, FL
33012-5826
Practice Phone: 305-558-9700
Practice Fax: 305-362-5964
1922530625 — JOSE ANTONIO ORTA
Practice Location Address:
5826 W 18TH AVE
HIALEAH, FL
33012-7590
Practice Phone: 786-380-6142
Practice Fax:
1942724653 — DIANAMARY BRITO HERRERA MD
Practice Location Address:
4225 W 20TH AVE
HIALEAH, FL
33012-5826
Practice Phone: 786-828-7552
Practice Fax:
1871176222 — SOUTHERN WINDS HOSPITAL LLC
Practice Location Address:
4225 W 20TH AVE
HIALEAH, FL
33012-5826
Practice Phone: 305-558-9700
Practice Fax:
1013629815 — SOUTHERN WINDS PHYSICIANS GROUP LLC
Practice Location Address:
4225 W 20TH AVE
HIALEAH, FL
33012-5826
Practice Phone: 786-828-7552
Practice Fax:
1417643008 — CARLA SULTAN AVILA MD
Practice Location Address:
4225 W 20TH AVE
HIALEAH, FL
33012-5826
Practice Phone: 786-828-7552
Practice Fax:

Directions to “ ALI SHAHSAMAND MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.