# SHAD SYED ALI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184043010
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 280916 | MA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | DR.0058735 | CO | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD61070547 | WA | Yes |

## Other

- **Enumeration date:** 04/08/2014
- **Last updated:** 09/01/2022