Healthcare Provider Details

I. General information

NPI: 1780756817
Provider Name (Legal Business Name): ALI A ASKARI, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N BEELINE HWY
PAYSON AZ
85541-3714
US

IV. Provider business mailing address

PO BOX 2939
PAYSON AZ
85547-2939
US

V. Phone/Fax

Practice location:
  • Phone: 928-474-5286
  • Fax: 928-474-0008
Mailing address:
  • Phone: 928-474-5286
  • Fax: 928-474-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31766
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number20451
License Number StateAZ

VIII. Authorized Official

Name: DR. ALI A ASKARI
Title or Position: OWNER
Credential: M.D.
Phone: 928-474-5286