Provider Demographics
NPI:1366739880
Name:NSAIR, ALI (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:NSAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-794-2727
Mailing Address - Fax:310-794-0011
Practice Address - Street 1:200 MEDICAL PLZ
Practice Address - Street 2:365C
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-794-2727
Practice Address - Fax:310-794-0011
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2018-09-27
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Provider Licenses
StateLicense IDTaxonomies
CAA108268207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFF685ZMedicare PIN