Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Reza Shahlaie, PA-C

Individual provider Physician Assistant · NPI 1346805454

Blake Reza Shahlaie, PA-C is a Physician Assistant in Bethel, Alaska. Licensed in Alaska. Registered with an NPI since 2019.

Licensed in
AK
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

185 Hoffman Rd
Bethel, AK 55995
Phone: (907) 543-5158

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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 145511 (AK)

Record details

NPI number1346805454
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESOctober 7, 2019

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