Provider Demographics
NPI:1609323773
Name:CENTER FOR HEALTH INTERNAL MEDICINE ASSOCIATES SHAHEEN ALI MD PC
Entity Type:Organization
Organization Name:CENTER FOR HEALTH INTERNAL MEDICINE ASSOCIATES SHAHEEN ALI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-322-3393
Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503
Mailing Address - Country:US
Mailing Address - Phone:775-322-3393
Mailing Address - Fax:
Practice Address - Street 1:645 N ARLINGTON AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4460
Practice Address - Country:US
Practice Address - Phone:775-322-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002249363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty