Provider Demographics
NPI:1831119015
Name:ALVI, NISHAT P (MD)
Entity Type:Individual
Prefix:DR
First Name:NISHAT
Middle Name:P
Last Name:ALVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 FOX GLEN CT
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1834
Mailing Address - Country:US
Mailing Address - Phone:847-277-0111
Mailing Address - Fax:847-277-0444
Practice Address - Street 1:602 FOX GLEN CT
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1834
Practice Address - Country:US
Practice Address - Phone:847-277-0111
Practice Address - Fax:847-277-0444
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-089679207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036089679 3Medicaid
G64421Medicare UPIN
IL036089679 3Medicaid