Provider Demographics
NPI:1194510032
Name:HIRANI, ALIZAMAN
Entity type:Individual
Prefix:
First Name:ALIZAMAN
Middle Name:
Last Name:HIRANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N 5TH AVE APT 427
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-0808
Mailing Address - Country:US
Mailing Address - Phone:352-484-7812
Mailing Address - Fax:
Practice Address - Street 1:555 N 5TH AVE APT 427
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-0808
Practice Address - Country:US
Practice Address - Phone:352-484-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ315786207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine