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Individual

DR. ALI P SHAHRIARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 NW 49TH AVE, SUITE 104, LAUDERDALE LAKES, FL 33313-7266
(954) 739-2273
(954) 739-2742
Mailing address
3001 NW 49TH AVE, SUITE 104, LAUDERDALE LAKES, FL 33313-7266
(954) 739-2273
(954) 739-2742

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01063617A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME116440
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200877850
IN
Enumeration date
07/26/2007
Last updated
10/04/2013
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