Provider Demographics
NPI:1477522423
Name:ASHTARI, ALI REZA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:REZA
Last Name:ASHTARI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1886 W AUBURN RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3865
Mailing Address - Country:US
Mailing Address - Phone:248-290-3111
Mailing Address - Fax:248-290-3100
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:SUITE 406
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4825
Practice Address - Country:US
Practice Address - Phone:248-557-9010
Practice Address - Fax:248-557-3655
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-01-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301080840207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology