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Dr. Shane Ali, MD

Emergency Medicine in Austin, TX. Individual provider (NPI-1).

NPI number1477012235
StatusActive
Last updated in NPPESAug 1, 2022

Details

NPI
1477012235
Entity type
Individual (NPI-1)
Name
Dr. Shane Ali
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2019
Certification date
Aug 1, 2022
Last updated
Aug 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineT5808TXYes
207P00000X Emergency Medicine250025NC

Practice location

901 W Ben White Blvd
Austin, TX 78704-6903

Phone 512-447-2211

Mailing address

5027 Briar Stone Ln
Sugar Land, TX 77479-4290

Phone 832-620-1661

Other practice locations

1000 Blythe Blvd
Charlotte, NC 28203-5812

Phone 704-355-3181 · Fax 704-355-7047

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