Healthcare Provider Details

I. General information

NPI: 1457603003
Provider Name (Legal Business Name): NASIR ALARAKHIA, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2012
Last Update Date: 10/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7328 STONEROCK CIR
ORLANDO FL
32819-8000
US

IV. Provider business mailing address

7328 STONEROCK CIR
ORLANDO FL
32819-8000
US

V. Phone/Fax

Practice location:
  • Phone: 407-345-7990
  • Fax:
Mailing address:
  • Phone: 407-345-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME46056
License Number StateFL

VIII. Authorized Official

Name: DR. NASIR ALARAKHIA
Title or Position: PRESIDENT
Credential: MD
Phone: 407-579-2527