Healthcare Provider Details
I. General information
NPI: 1891775268
Provider Name (Legal Business Name): FIRAS AL-ALI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/20/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3300 GALLOWS RD
FALLS CHURCH VA
22042-3307
US
IV. Provider business mailing address
3867 MEDINA RD # 270
AKRON OH
44333-4525
US
V. Phone/Fax
- Phone: 703-698-4444
- Fax:
- Phone: 330-344-2387
- Fax: 330-344-6344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | E-18165 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | 35-098956 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | E-18165 |
| License Number State | AR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 35-098956 |
| License Number State | OH |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 22211 |
| License Number State | ND |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | 0101224776 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: