Provider Demographics
NPI:1760554919
Name:ASKARI, ALI A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:A
Last Name:ASKARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2939
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85547-2939
Mailing Address - Country:US
Mailing Address - Phone:928-474-5286
Mailing Address - Fax:928-474-0008
Practice Address - Street 1:1331 N 7TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2754
Practice Address - Country:US
Practice Address - Phone:602-277-6181
Practice Address - Fax:602-277-5354
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20451207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ076209Medicaid
64887Medicare ID - Type Unspecified
E71017Medicare UPIN
62439Medicare ID - Type Unspecified
AZ119127Medicare PIN
AZ076209Medicaid
AZ119125Medicare PIN
62440Medicare ID - Type Unspecified