Provider Demographics
NPI:1982993747
Name:ALY, SHAHENDA SAMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHENDA
Middle Name:SAMIR
Last Name:ALY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9214
Mailing Address - Street 2:ROBERT C. BYRD HEALTH SCIENCES CENTER - DEPT OF PEDS
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9214
Mailing Address - Country:US
Mailing Address - Phone:304-293-4451
Mailing Address - Fax:304-293-4341
Practice Address - Street 1:WEST VIRGINIA UNIVERSITY HOSPITALS SCHOOL OF MEDICINE
Practice Address - Street 2:DEPT OF PEDIATRICS ROBERT C BYRD HEALTH SCIENCE CENTER
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9214
Practice Address - Country:US
Practice Address - Phone:304-293-4451
Practice Address - Fax:304-293-4341
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program