Healthcare Provider Details

I. General information

NPI: 1689036352
Provider Name (Legal Business Name): ALI ASGHER SAHERWALA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N BECKLEY AVE
DALLAS TX
75203-1201
US

IV. Provider business mailing address

221 W COLORADO BLVD STE 525
DALLAS TX
75208-2312
US

V. Phone/Fax

Practice location:
  • Phone: 214-947-8181
  • Fax:
Mailing address:
  • Phone: 214-960-5681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD469644
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberR7588
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR7588
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: