Provider Demographics
NPI:1316044456
Name:NOORANI, PYAR ALI (MD,DCH,DTM&H,MCPS)
Entity Type:Individual
Prefix:DR
First Name:PYAR
Middle Name:ALI
Last Name:NOORANI
Suffix:
Gender:M
Credentials:MD,DCH,DTM&H,MCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 TILLOTSON PL
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-7318
Mailing Address - Country:US
Mailing Address - Phone:937-428-9585
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1873
Practice Address - Country:US
Practice Address - Phone:937-641-8002
Practice Address - Fax:937-641-5412
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD39223208000000X, 2080P0008X
OH35059746208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
B45571Medicare UPIN