| Syed T Ali Md Pllc | |
|
3121 S Maryland Pkwy #408 Las Vegas NV 89109-2307 | |
| (702) 733-8018 | |
| (702) 733-8751 |
| Full Name | Syed T Ali Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3121 S Maryland Pkwy, Las Vegas, Nevada |
| Authorized Official Name and Position | Syed T Ali (PRESIDENT/OWNER) |
| Authorized Official Contact | 6178344486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed T Ali Md Pllc 9033 Robinson Ridge Dr Las Vegas NV 89117-5424 Ph: (617) 834-4486 | Syed T Ali Md Pllc 3121 S Maryland Pkwy #408 Las Vegas NV 89109-2307 Ph: (702) 733-8018 |
| NPI Number | 1366889495 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 9537309836 |
|---|---|
| Medicare Enrollment ID | O20190708002768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366889495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Joshua A Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795849 PECOS PAC ID: 7315094380 Enrollment ID: I20090408000316 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396733713 PECOS PAC ID: 6800786989 Enrollment ID: I20110719000617 |
| Provider Name | Anuradha Thirumalai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217534 PECOS PAC ID: 6507126042 Enrollment ID: I20180201001561 |
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