Provider Demographics
NPI:1457161309
Name:MURADI, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:MURADI
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 1:381 CALLODINE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2921
Mailing Address - Country:US
Mailing Address - Phone:716-388-9148
Mailing Address - Fax:
Practice Address - Street 1:381 CALLODINE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-2921
Practice Address - Country:US
Practice Address - Phone:716-388-9148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver