MEDICARE: DR. NAUROZ IBRAHIM ALI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34952	AZ
2	207P00000X	Emergency Medicine Physician	34952	AZ
3	207R00000X	Internal Medicine Physician	MC-2381	ID
4	208M00000X	Hospitalist Physician	13285	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13285	OTHER	NV	NV LICENSE
2	11639705	OTHER	NV	CAQH
3	34952	OTHER	AZ	AZ LICENSE

General Provider Information

NPI Number	:	1356384325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAUROZ IBRAHIM ALI MD

Provider Business Mailing Address
First Line	:	PO BOX 19546
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-1994
Country	:	US
Telephone Number	:	775-335-6069
Fax Number	:	775-982-5496

Provider Business Practice Location Address
First Line	:	29 SOARING BIRD CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-7866
Country	:	US
Telephone Number	:	702-994-9466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	06/05/2026

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