Individual
DR. ALI GHARAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2436
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
204588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864180
—
NY
Enumeration date
11/28/2006
Last updated
04/21/2011
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