Provider Demographics
NPI:1720358971
Name:SHIRZADI, ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:SHIRZADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1800 MEDICAL CENTER PARKWAY
Mailing Address - Street 2:DEPAUL BUILDING SUITE 300
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129
Mailing Address - Country:US
Mailing Address - Phone:615-849-8004
Mailing Address - Fax:615-849-1334
Practice Address - Street 1:1800 MEDICAL CENTER PARKWAY
Practice Address - Street 2:DEPAUL BUILDING SUITE 300
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-849-8004
Practice Address - Fax:615-849-1334
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN62347207T00000X
CAA100574207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGY922Z-AMedicare PIN