Individual
ALI R SHIRVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4325 N JOSEY LN STE 206, CARROLLTON, TX 75010-4637
(214) 915-8515
(469) 892-2312
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1812
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J7848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030698708
—
TX
01
—
575372YND4
MEDICARE 99
TX
01
—
575372YNEC
MEDICARE - TARRANT
TX
01
—
575375YNED
MEDICARE DALLAS
TX
Enumeration date
09/20/2005
Last updated
03/17/2018
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