Provider Demographics
NPI:1770768160
Name:AKHLAGHI, ALI AHADI (PA-C)
Entity type:Individual
Prefix:MR
First Name:ALI
Middle Name:AHADI
Last Name:AKHLAGHI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:8811 WESTHEIMER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3626
Mailing Address - Country:US
Mailing Address - Phone:713-978-6337
Mailing Address - Fax:713-532-6337
Practice Address - Street 1:8811 WESTHEIMER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3626
Practice Address - Country:US
Practice Address - Phone:713-978-6337
Practice Address - Fax:713-532-6337
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2013-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05456363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12009303OtherCAQH PROVIDER ID