Provider Demographics
NPI:1265085161
Name:ALI NAIRIZI MD PC
Entity type:Organization
Organization Name:ALI NAIRIZI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:775-813-4300
Mailing Address - Street 1:1470 MEDICAL PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4647
Mailing Address - Country:US
Mailing Address - Phone:775-813-4300
Mailing Address - Fax:
Practice Address - Street 1:1470 MEDICAL PKWY STE 240
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4647
Practice Address - Country:US
Practice Address - Phone:415-420-1864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty