Provider Demographics
NPI:1982870416
Name:BAHRANI, ALI AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:AKBAR
Last Name:BAHRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 WINDMERE WAY
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5617
Mailing Address - Country:US
Mailing Address - Phone:972-770-1032
Mailing Address - Fax:
Practice Address - Street 1:1213 WINDMERE WAY
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5617
Practice Address - Country:US
Practice Address - Phone:972-770-1032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine