Individual
ALI HEIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
3289 HYDE PLACE CIR, WINSTON SALEM, NC 27103-6834
(743) 270-6555
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
340087
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
8031
NC
Other
Enumeration date
08/14/2025
Last updated
10/08/2025
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