Provider Demographics
NPI:1093155764
Name:ALI, HIRA (MD)
Entity Type:Individual
Prefix:
First Name:HIRA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HIRA
Other - Middle Name:
Other - Last Name:TANVIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5435 CLAYBOURNE ST
Mailing Address - Street 2:APT 505
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1641
Mailing Address - Country:US
Mailing Address - Phone:412-313-1869
Mailing Address - Fax:
Practice Address - Street 1:100 HAZEL LN STE 200
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1249
Practice Address - Country:US
Practice Address - Phone:724-773-8981
Practice Address - Fax:724-773-8982
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT203578390200000X
PAMD465006207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program