Individual
DR. SHAAWN BASHARAT ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506-6771
(337) 703-3201
(337) 703-3202
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
(337) 571-0030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 13703
FL
Other
Enumeration date
12/09/2015
Last updated
09/19/2019
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