Individual provider · NPI-1

Shafaqat Ali, MD

Internal Medicine · Shreveport, LA

NPI number1407333628
StatusActive
Last updated in NPPESDec 23, 2024

Details

NPI
1407333628
Entity type
Individual (NPI-1)
Name
Shafaqat Ali
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 20, 2018
Certification date
Dec 23, 2024
Last updated
Dec 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine327942LAYes
208M00000X Hospitalist327942LA

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-0000

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Phone 318-626-0287

Other practice locations

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Phone 225-765-4050 · Fax 225-765-4046

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