Individual
DR. ALI AKHTER SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 WATSON BLVD, HOUSTON MEDICAL CENTER, ATTN: RADIOLOGY DEPT, WARNER ROBINS, GA 31093-3431
(478) 333-3603
(478) 333-3685
Mailing address
2929 WATSON BLVD STE 2, PMB 125, WARNER ROBINS, GA 31093-9601
(478) 333-3603
(478) 333-3685
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
056363
GA
2085R0202X
Diagnostic Radiology Physician
Primary
056363
GA
2085R0204X
Vascular & Interventional Radiology Physician
056363
GA
208D00000X
General Practice Physician
056363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52185752002
BCBS-WARNER ROBINS
GA
01
—
52185752006
BCBS-PERRY
GA
05
—
738783668B
—
GA
05
—
738783668C
—
GA
01
—
P00346867
RAILROAD MEDICARE
GA
Enumeration date
04/04/2006
Last updated
07/08/2016
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