Individual provider · Type 1 NPI

Alivia Shallal

Physician Assistant · Detroit, MI

NPI number 1851246615 Active

Practice location

259 Mack Ave
Detroit, MI 48201-2427

Call (313) 577-1368 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1851246615

Alivia Shallal's National Provider Identifier is 1851246615, issued on Feb 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on May 28, 2026.