Individual
DR. ALI H SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18303 E 10 MILE RD, SUITE 100, ROSEVILLE, MI 48066-4988
(586) 776-8877
(586) 776-3092
Mailing address
18303 E 10 MILE RD, SUITE 100, ROSEVILLE, MI 48066-4988
(586) 776-8877
(586) 776-3092
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301087024
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301087024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502135
BCBS INDIVIDUAL
MI
01
—
0E01050
BCBS GROUP
MI
01
—
2829134
AETNA
MI
01
—
CD6196
RAILROAD MEDICARE GROUP PIN
MI
01
—
P00449810
RAILROAD MEDICARE INDIVIDUAL PIN
MI
Enumeration date
05/29/2007
Last updated
02/11/2021
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