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NPI Code Detail

MEDICARE: DR. ALI H ALAVI D.O.

MEDICARE:  DR. ALI H ALAVI  D.O.
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
1207R00000XInternal Medicine PhysicianM2531TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18CL464OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1750404877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI H ALAVI D.O.
Provider Business Mailing Address
First Line : 919 W RANDOL MILL RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2511
Country : US
Telephone Number : 682-323-5904
Fax Number : 682-323-4139
Provider Business Practice Location Address
First Line : 3750 S UNIVERSITY DR
Second Line : SUITE 202
City : FORT WORTH
State : TX
Zip : 76109-3795
Country : US
Telephone Number : 817-924-1000
Fax Number : 817-924-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 04/19/2018

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Directions to “ DR. ALI H ALAVI D.O.” Practice Location

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