Provider Demographics
NPI:1700032273
Name:NAIRIZI, ALI (MD PC)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:NAIRIZI
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5500 RENO CORPORATE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2628
Mailing Address - Country:US
Mailing Address - Phone:775-384-1127
Mailing Address - Fax:775-384-2478
Practice Address - Street 1:6512 S MCCARRAN BLVD STE E
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-384-1127
Practice Address - Fax:775-384-2478
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV15219207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1700032273Medicaid
NVV107715Medicare PIN