Individual
DR. SHAHID ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
(309) 268-5193
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-118149
IL
2085R0202X
Diagnostic Radiology Physician
036.118149
IL
2085R0202X
Diagnostic Radiology Physician
P2089
TX
Other
Enumeration date
06/09/2008
Last updated
04/24/2024
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