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NPI Code Detail

MEDICARE: MAZHAR ALI CRNA

MEDICARE: MAZHAR ALI CRNA
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
1367500000XCertified Registered Nurse Anesthetist070192NC
2367500000XCertified Registered Nurse Anesthetist0024189437VA
3367500000XCertified Registered Nurse Anesthetist261692AZ
4367500000XCertified Registered Nurse Anesthetist101.0138058VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568428282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAZHAR ALI CRNA
Provider Business Mailing Address
First Line : PO BOX 601549
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1549
Country : US
Telephone Number : 704-384-4239
Fax Number : 704-384-5636
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 520-742-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 02/25/2026

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Directions to “ MAZHAR ALI CRNA” Practice Location

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