Healthcare Provider Details
I. General information
NPI: 1871877969
Provider Name (Legal Business Name): ALI INDUSTRIES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2011
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 W SAHARA AVE STE 800
LAS VEGAS NV
89102-4397
US
IV. Provider business mailing address
PO BOX 19546
RENO NV
89511-1994
US
V. Phone/Fax
- Phone: 725-235-6099
- Fax:
- Phone: 702-453-3799
- Fax: 702-453-5741
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 13285 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NAUROZ
IBRAHIM
ALI
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: MD
Phone: 702-994-9466