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NPI Code Detail

MEDICARE: DR. ALI IRSHAD M.D.

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
12086S0129XVascular Surgery Physician01086040AIN
22086S0129XVascular Surgery Physician290005MA
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianW1605TX
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician66870TN
52086S0129XVascular Surgery Physician64213CT

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 : 1000 S BECKHAM AVE
Second Line :
City : TYLER
State : TX
Zip : 75701-1908
Country : US
Telephone Number : 903-531-6680
Fax Number : 903-592-1934
Provider Business Practice Location Address
First Line : 1000 S BECKHAM AVE
Second Line :
City : TYLER
State : TX
Zip : 75701-1908
Country : US
Telephone Number : 903-531-6680
Fax Number : 903-592-1934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2013
Last Update Date : 03/20/2026

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Directions to “ DR. ALI IRSHAD M.D.” Practice Location

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