NPI 1184099699 · live from the CMS NPI Registry
Shaawn Basharat Ali, D.O.
Family Medicine in Lafayette, LA. National Provider Identifier 1184099699, active.
NPI record
| NPI | 1184099699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4212 W Congress St Ste 3100, Lafayette, LA 70506 |
| Practice phone | 337-703-3201 |
| Mailing address | Po Box 919229, Dallas, TX 75391 |
| Enumerated | December 9, 2015 |
| Last updated | September 19, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | OS 13703 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.