Individual
ALI YOUSEF SHAHSAMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4225 W 20TH AVE, HIALEAH, FL 33012-5835
(786) 828-7552
Mailing address
84 BROWN CIR, PARAMUS, NJ 07652-5239
(201) 575-9305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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