Organization Name: | SYED T ALI MD PLLC |
NPI Number: | 1366889495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SYED T ALI (PRESIDENT/OWNER) |
Mailing Address: | 3121 S Maryland Pkwy #408 Las Vegas |
State: | NV US |
Postal Code: | 891092307 |
Phone Number: | 7027338018 |
Fax Number: | 7027338751 |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 13781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |