Provider Demographics
NPI:1528226529
Name:JOINT AND MUSCLE MEDICAL CARE
Entity Type:Organization
Organization Name:JOINT AND MUSCLE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-541-2111
Mailing Address - Street 1:8840 BLAKENEY PROFESSIONAL DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6594
Mailing Address - Country:US
Mailing Address - Phone:704-541-2111
Mailing Address - Fax:704-541-2282
Practice Address - Street 1:8840 BLAKENEY PROFESSIONAL DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6594
Practice Address - Country:US
Practice Address - Phone:704-541-2111
Practice Address - Fax:704-541-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400560207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC138CFOtherBLUECROSS BLUESHIELD
NC138CFOtherBLUECROSS BLUESHIELD