Shabani-Ardali, Alireza
Shabani-Ardali, Alireza is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shabani-Ardali, Alireza can be contacted via phone (541) 768-5111.Contact Information
Primary practice address
3600 Nw Samaritan Dr
Corvallis OR 97330-3737
Phone: (541) 768-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD173870 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD041648 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D76274 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD173870 | Oregon |
Profile Details
| NPI number | 1083862403 |
|---|---|
| LBN Legal business name | Shabani-Ardali, Alireza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Nov 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083862403 | NPPES |
| Oregon | MEDICAID | 500690333 | |
| Oregon | Other | P01590801 |
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