Ali, Nasira R.

Ali, Nasira R. is an sole proprietor health care provider with primary practice located at 1805 Herrington Rd Bldg. 1 Suite A, Lawrenceville GA 30043-7987. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ali, Nasira R. can be contacted via phone (678) 226-2295.

Contact Information

Primary practice address
1805 Herrington Rd Bldg. 1 Suite A Lawrenceville GA 30043-7987
Phone: (678) 226-2295
Fax: (678) 226-2296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 056642 Georgia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 056642 Georgia

Profile Details

NPI number 1780784454
LBN Legal business name Ali, Nasira R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Aug 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780784454 NPPES
Georgia MEDICAID 638411026B
Georgia MEDICAID 648074039A
Georgia MEDICAID 638411026A

Popular Providers