=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780756817
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALI A ASKARI, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1106 N BEELINE HWY
-----------------------------------------------------
City | PAYSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85541-3714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-474-5286
-----------------------------------------------------
Fax | 928-474-0008
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2939
-----------------------------------------------------
City | PAYSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85547-2939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-474-5286
-----------------------------------------------------
Fax | 928-474-0008
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ALI A ASKARI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 928-474-5286
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | 20451
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 31766
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------