Provider Demographics
NPI:1629026273
Name:ALI, SHAIKH (MD PA)
Entity Type:Individual
Prefix:
First Name:SHAIKH
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 SCHOOL ST
Mailing Address - Street 2:SUITE N27
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4593
Mailing Address - Country:US
Mailing Address - Phone:281-357-0666
Mailing Address - Fax:281-255-2740
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:SUITE 27
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4593
Practice Address - Country:US
Practice Address - Phone:281-357-0666
Practice Address - Fax:281-255-2740
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8874207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031566502Medicaid
TXF25701Medicare UPIN
TX8A5552Medicare PIN