Individual
ALICIA SHIRAKBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
128 DANIEL DR, DANVILLE, KY 40422-2527
(859) 238-0018
Mailing address
431 FAYETTE PARK, LEXINGTON, KY 40508-1330
(312) 375-7575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01052776A
IN
207P00000X
Emergency Medicine Physician
036-096107
IL
207P00000X
Emergency Medicine Physician
41540
KY
207P00000X
Emergency Medicine Physician
99000262A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
41540
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096107
—
IL
Enumeration date
09/20/2006
Last updated
08/19/2022
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