Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shan Ali, MD

Individual provider Internal Medicine Physician · NPI 1558010389

Dr. Shan Ali, MD is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TRN34672 (FL)

Record details

NPI number1558010389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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