Provider Demographics
NPI:1285435388
Name:SHARIFZADEH, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:SHARIFZADEH
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 1:242 CRANBROOK GDNS SE
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:AB
Mailing Address - Zip Code:T3M 3N6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 CRANBROOK GDNS SE
Practice Address - Street 2:
Practice Address - City:CALGARY
Practice Address - State:AB
Practice Address - Zip Code:T3M 3N6
Practice Address - Country:CA
Practice Address - Phone:714-920-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program