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BLAKE REZA SHAHLAIE PA-C
NPI 1346805454
Physician Assistant in Bethel, AK

Active since May 03, 2019
185 HOFFMAN ROAD, BETHEL, AK 55995(907) 543-5158 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2019, May 3, 2019 (2 updates tracked since 2019).

About Blake Reza Shahlaie Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE REZA SHAHLAIE PA-C (NPI 1346805454) is an individual physician assistant in Bethel, Alaska, licensed in Alaska (145511) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1346805454
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE REZA SHAHLAIECredential: PA-C
Location Address185 HOFFMAN ROADBethel, AK 55995
Mailing AddressPo Box 194Bethel, AK 99559-0194 · (907) 543-6149
Phone(907) 543-5158
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateOctober 7, 20192 updates tracked since enumeration
✔ NPI 1346805454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 145511
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
185 HOFFMAN ROAD, Bethel, AK 55995
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Other Identifiers 2

Other9111989FL · Florida Department Of Health
Other145511AK · Alaska Board Of Medicine

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Shahlaie's NPI number?

The NPI number for Blake Shahlaie is 1346805454. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Blake Shahlaie located?

Blake Shahlaie practices at 185 Hoffman Road, Bethel, AK 55995. The listed phone number is (907) 543-5158.

What is Blake Shahlaie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blake Shahlaie was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.