Individual
ALI HAKIM SHOUSHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 E NORTH AVE STE 305, PITTSBURGH, PA 15212-4740
(412) 359-6656
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD471362
PA
207RI0200X
Infectious Disease Physician
MD471362
PA
Other
Enumeration date
06/20/2014
Last updated
10/19/2022
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