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NPI Code Detail

MEDICARE: DR. JAWAD TAHIR ALI M.D.

MEDICARE:  DR. JAWAD TAHIR ALI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianQ6139TX

General Provider Information

NPI Number : 1386936532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAWAD TAHIR ALI M.D.
Provider Business Mailing Address
First Line : 1111 E CESAR CHAVEZ ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-4209
Country : US
Telephone Number : 512-978-9309
Fax Number :
Provider Business Practice Location Address
First Line : 5339 N IH 35
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2557
Country : US
Telephone Number : 512-978-8130
Fax Number : 512-324-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2011
Last Update Date : 07/01/2025

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Directions to “ DR. JAWAD TAHIR ALI M.D.” Practice Location

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