Provider Demographics
NPI:1750404877
Name:ALAVI, ALI H (DO)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:H
Last Name:ALAVI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:919 W RANDOL MILL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2511
Mailing Address - Country:US
Mailing Address - Phone:682-323-5904
Mailing Address - Fax:682-323-4139
Practice Address - Street 1:3750 S UNIVERSITY DR
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-3795
Practice Address - Country:US
Practice Address - Phone:817-924-1000
Practice Address - Fax:817-924-1001
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2018-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CL464OtherBLUE CROSS BLUE SHIELD