Individual
SHAHZAD MUJEEB ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WYOMING ST, SUITE 3027A SW, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
2631 ROCKCASTLE CT, MIAMISBURG, OH 45342-7253
(937) 287-7868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
338030
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019340
OH
Other
Enumeration date
08/05/2016
Last updated
10/04/2016
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