MEDICARE: DR. ALI IRSHAD 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
1	2086S0129X	Vascular Surgery Physician	290005	MA
2	2086S0129X	Vascular Surgery Physician	01086040A	IN
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	W1605	TX
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	66870	TN
5	2086S0129X	Vascular Surgery Physician	64213	CT

General Provider Information

NPI Number	:	1548608219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI IRSHAD M.D.

Provider Business Mailing Address
First Line	:	1211 MEDICAL CENTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0004
Country	:	US
Telephone Number	:	781-308-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 MEDICAL CENTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0004
Country	:	US
Telephone Number	:	781-308-2695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	01/13/2026

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