1508338146 NPI number — ASEEM ALI

Table of content: ASEEM ALI (NPI 1508338146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508338146 NPI number — ASEEM ALI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALI
Provider First Name:
ASEEM
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508338146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14700 WOODSON PARK DR
Provider Second Line Business Mailing Address:
APT 1512
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77044-4531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-715-7771
Provider Business Mailing Address Fax Number:
346-980-4054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4407 FAWN HILL CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77479-3648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-660-8201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP140048 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)