Individual
DR. ALI SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4560 S EASTERN AVE STE 20, LAS VEGAS, NV 89119-6182
(888) 693-6258
(407) 550-6393
Mailing address
4560 S EASTERN AVE STE 20, LAS VEGAS, NV 89119-6182
(888) 693-6258
(407) 550-6393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0639
SC
207Q00000X
Family Medicine Physician
Primary
DO2829
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205997665
—
NV
01
—
DO2829
STATE LICENSE
NV
Enumeration date
12/12/2006
Last updated
01/19/2026
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