Individual provider · NPI-1

Shane Ahlers, M.D.

Internal Medicine, Hematology & Oncology · Boise, ID

NPI number1861802332
StatusActive
Last updated in NPPESApr 13, 2022

Details

NPI
1861802332
Entity type
Individual (NPI-1)
Name
Shane Ahlers
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 5, 2014
Certification date
Apr 13, 2022
Last updated
Apr 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & OncologyM-16442IDYes
207RH0003X Internal Medicine, Hematology & OncologyR3985TX
207RX0202X Internal Medicine, Medical OncologyR3985TX

Practice location

100 E Idaho St
Boise, ID 83712-6267

Phone 208-381-2711

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

11400 W Parmer Ln
Apt 81
Cedar Park, TX 78613-4857

Phone 336-577-3242

6037 Marquita Ave
Dallas, TX 75206

Phone 336-577-3242

2207 Clear Creek Rd Ste 101
Killeen, TX 76549-4344

Phone 254-200-3200 · Fax 254-200-3219

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