Healthcare Provider Details

I. General information

NPI: 1356383103
Provider Name (Legal Business Name): NADIR ALI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. NADIR ALI

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17490 HIGHWAY 3 STE A200
WEBSTER TX
77598-4160
US

IV. Provider business mailing address

PO BOX 4897
HOUSTON TX
77210-4897
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-6500
  • Fax: 832-905-5905
Mailing address:
  • Phone: 281-338-6500
  • Fax: 832-905-5905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberJ1609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: