Provider Demographics
NPI:1427345065
Name:ACHIRA, ALI ALEXANDRU (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:ALEXANDRU
Last Name:ACHIRA
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 1:9025 PARDEE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2755
Mailing Address - Country:US
Mailing Address - Phone:313-600-4669
Mailing Address - Fax:855-250-3025
Practice Address - Street 1:4700 GREENFIELD RD STE 2C
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4124
Practice Address - Country:US
Practice Address - Phone:313-600-4669
Practice Address - Fax:855-250-3025
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301098856207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI3696007Medicare PIN