Provider Demographics
NPI:1306127311
Name:ALI, HISBAY (MD)
Entity type:Individual
Prefix:DR
First Name:HISBAY
Middle Name:
Last Name:ALI
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 1:4315 N RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3436
Mailing Address - Country:US
Mailing Address - Phone:917-374-5337
Mailing Address - Fax:
Practice Address - Street 1:4315 N RANCHO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3436
Practice Address - Country:US
Practice Address - Phone:702-444-0768
Practice Address - Fax:702-268-8181
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
283Q00000X
NV206602084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No283Q00000XHospitalsPsychiatric Hospital