Provider Demographics
NPI:1184685422
Name:ALI, ZAHIR (MD)
Entity Type:Individual
Prefix:
First Name:ZAHIR
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 708850
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-8850
Mailing Address - Country:US
Mailing Address - Phone:866-869-2395
Mailing Address - Fax:801-352-9502
Practice Address - Street 1:5002 COWHORN CREEK RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-9766
Practice Address - Country:US
Practice Address - Phone:903-614-3000
Practice Address - Fax:903-615-3500
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD20040731207R00000X
TXM8481208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM009T67OtherBLUE CROSS BLUE SHIELD
NM104889OtherHEALTH PARTNERS
NMPROVP22696OtherMOLINA
NM94773101OtherFARMINGTON AHCCCS
NM201149354OtherLOVELACE
NM80335331Medicaid
NMP00242436OtherRAILROAD MEDICARE
NM80335331Medicaid
NM94773101OtherFARMINGTON AHCCCS