Provider Demographics
NPI:1316375082
Name:SHAH, ALI (EMT-P)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1956
Mailing Address - Country:US
Mailing Address - Phone:713-222-4212
Mailing Address - Fax:713-222-4247
Practice Address - Street 1:1200 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1956
Practice Address - Country:US
Practice Address - Phone:713-222-4212
Practice Address - Fax:713-222-4247
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX146972146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic