Provider Demographics
NPI:1629068366
Name:NAQVI, SYED ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ALI
Last Name:NAQVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SYED
Other - Middle Name:GHAZANFAR ALI
Other - Last Name:NAQVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11071 CR 442
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:317-640-0740
Mailing Address - Fax:800-507-0927
Practice Address - Street 1:1701 ELDORADO PKWY STE 250
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-8085
Practice Address - Country:US
Practice Address - Phone:469-215-2023
Practice Address - Fax:800-507-0927
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8141174400000X, 207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL8141OtherTX STATE BOARD OF MEDICA
TXG38516Medicare UPIN