Individual
SHEHARYAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-4311
(479) 968-4399
Mailing address
2205 W MAIN ST, RUSSELLVILLE, AR 72801-2759
(479) 968-4311
(479) 968-4399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33912
IA
207RC0000X
Cardiovascular Disease Physician
E6059
AR
207RI0011X
Interventional Cardiology Physician
69380
AZ
207RI0011X
Interventional Cardiology Physician
Primary
E-6059
AR
Other
Enumeration date
06/09/2006
Last updated
05/23/2023
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