Healthcare Provider Details

I. General information

NPI: 1871024091
Provider Name (Legal Business Name): ALI S ARASTU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3186 S MARYLAND PKWY
LAS VEGAS NV
89109-2317
US

IV. Provider business mailing address

3186 S MARYLAND PKWY
LAS VEGAS NV
89109-2317
US

V. Phone/Fax

Practice location:
  • Phone: 702-961-8435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA140337
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberA140337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: