Individual
SHAUKAT ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1313 E HERNDON AVE, SUITE 203, FRESNO, CA 93720-3306
(559) 439-6808
(559) 439-9335
Mailing address
1313 E HERNDON AVE, SUITE 203, FRESNO, CA 93720-3306
(559) 439-6808
(559) 439-9335
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A100025
CA
207RI0011X
Interventional Cardiology Physician
Primary
A100025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1000250
—
CA
01
—
A100025
CALIFORNIA MEDICAL LICENS
CA
Enumeration date
07/23/2007
Last updated
02/28/2017
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