NPI

Shahana Ali

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2011-03-28
Last updated
2020-05-22

Specialties

Licenses

License NY
014664-1

Location

Practice location
10959 W Colonial Dr
City
Ocoee FL
Postal code
34761-2944
Phone
(407) 554-4590

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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