# ALI R SHIRVANI

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

## Provider details

- **NPI number:** 1528054046
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | J7848 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 030698708 | — | TX |
| 01 | — | 575372YND4 | MEDICARE 99 | TX |
| 01 | — | 575372YNEC | MEDICARE - TARRANT | TX |
| 01 | — | 575375YNED | MEDICARE DALLAS | TX |