Provider Demographics
NPI:1881607786
Name:AL-SHASH, AHMAD YASSER (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:YASSER
Last Name:AL-SHASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1701 22ND ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1443
Mailing Address - Country:US
Mailing Address - Phone:515-223-8622
Mailing Address - Fax:515-223-5324
Practice Address - Street 1:1701 22ND ST
Practice Address - Street 2:SUITE 207
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1443
Practice Address - Country:US
Practice Address - Phone:515-223-8622
Practice Address - Fax:515-223-5324
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA20153207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA41071OtherBLUE CROSS & BLUE SHIELD
IA66865OtherCOVENTRY HEALTHCARE
IA326929OtherHEALTHLINK
IAIA0101OtherJOHN DEERE HEALTHCARE
IA0141341Medicaid
IA030004047OtherRAILROAD MEDICARE WDM
IA8814OtherMIDLANDS CHOICE
IA66865OtherCOVENTRY HEALTHCARE