MEDICARE: HIRA ALI 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	207Q00000X	Family Medicine Physician	012068	AZ

General Provider Information

NPI Number	:	1790427227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIRA ALI DO

Provider Business Mailing Address
First Line	:	3202 E GREENWAY RD STE 1401
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4511
Country	:	US
Telephone Number	:	888-405-6396
Fax Number	:	415-252-7176

Provider Business Practice Location Address
First Line	:	3202 E GREENWAY RD STE 1401
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4511
Country	:	US
Telephone Number	:	888-405-6396
Fax Number	:	415-252-7176

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	01/15/2026

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Directions to “ HIRA ALI DO” Practice Location

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