Individual
SHAD SYED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2511 M AVE STE G, ANACORTES, WA 98221-3897
(360) 299-4297
(360) 299-4294
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 299-1300
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
280916
MA
2084P0804X
Child & Adolescent Psychiatry Physician
DR.0058735
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD61070547
WA
Other
Enumeration date
04/08/2014
Last updated
09/01/2022
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