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Individual
DR. SHANAZ ELIZABETH ALI
Active
Individual
DR. SHANAZ ELIZABETH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
241609
MA
207L00000X
Anesthesiology Physician
Primary
P6316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320697102
—
TX
01
—
8EQ084
BLUE CROSS BLUE SHIELD
TX
01
—
P01441240
RR MEDICARE
TX
Enumeration date
06/11/2009
Last updated
07/14/2020
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