MEDICARE: AMIR ALAVI DO

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	207L00000X	Anesthesiology Physician	N4894	TX
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	N4894	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8D8947	OTHER	TX	BCBS
4	P01002868	OTHER	TX	RAILROAD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619991296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR ALAVI DO

Provider Business Mailing Address
First Line	:	6606 LBJ FWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6524
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

Provider Business Practice Location Address
First Line	:	4323 N JOSEY LN STE 107
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4619
Country	:	US
Telephone Number	:	972-386-2020
Fax Number	:	972-386-2154

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/21/2022

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Directions to “ AMIR ALAVI DO” Practice Location

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