Provider Demographics
NPI:1376599241
Name:ALI R ARBABI MD
Entity type:Organization
Organization Name:ALI R ARBABI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARBABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-362-3322
Mailing Address - Street 1:3013 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-6094
Mailing Address - Country:US
Mailing Address - Phone:702-362-3322
Mailing Address - Fax:702-734-3322
Practice Address - Street 1:3013 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6094
Practice Address - Country:US
Practice Address - Phone:702-362-3322
Practice Address - Fax:702-734-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11538207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV=========OtherTAX ID
NVI41548Medicare UPIN