Healthcare Provider Details

I. General information

NPI: 1184079246
Provider Name (Legal Business Name): NABEEL SYED ALI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 IRVINE BLVD
IRVINE CA
92620-2102
US

IV. Provider business mailing address

1649 EXMOOR LN
COLLIERVILLE TN
38017-2003
US

V. Phone/Fax

Practice location:
  • Phone: 949-559-6500
  • Fax: 949-559-6510
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number71634
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA198289
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number62396
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28340
License Number StateMS
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-14551
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: