Provider Demographics
NPI:1194510032
Name:HIRANI, ALIZAMAN
Entity type:Individual
Prefix:
First Name:ALIZAMAN
Middle Name:
Last Name:HIRANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 E FLORENCE BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4784
Mailing Address - Country:US
Mailing Address - Phone:520-381-6912
Mailing Address - Fax:520-381-6914
Practice Address - Street 1:1828 E FLORENCE BLVD STE 112
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4784
Practice Address - Country:US
Practice Address - Phone:520-381-6912
Practice Address - Fax:520-381-6914
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ315786363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner