Dr. Ali Shafiq, M.D.
Internal Medicine, Cardiovascular Disease in Detroit, MI. Individual provider (NPI-1).
NPI number1609005503
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1609005503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali Shafiq
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2009
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 65349 | WI | Yes |
| 207R00000X | Internal Medicine | 4301094094 | MI | |
| 207R00000X | Internal Medicine | 65349 | WI |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 313-743-4012
Mailing address
725 American AveWaukesha, WI 53188-5031
Phone 262-928-8800
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