Provider Demographics
NPI:1689037368
Name:ALI, SHEERY (DO)
Entity Type:Individual
Prefix:
First Name:SHEERY
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 INDUSTRIAL DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2021
Mailing Address - Country:US
Mailing Address - Phone:603-894-0063
Mailing Address - Fax:603-894-9727
Practice Address - Street 1:5 INDUSTRIAL DR UNIT B
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087
Practice Address - Country:US
Practice Address - Phone:603-894-0063
Practice Address - Fax:603-894-9727
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine