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

Shayan Ali

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346015302

Shayan Ali is a Student in an Organized Health Care Education/Training Program in Ponte Vedra, Florida. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

275 Gardiners Bay Dr
Ponte Vedra, FL 32081-4408
Phone: (904) 687-7245
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1346015302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address275 Gardiners Bay Dr, Ponte Vedra, FL 32081-4408

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