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Individual

MR. ALI AHADI AKHLAGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8811 WESTHEIMER RD, SUITE 101, HOUSTON, TX 77063-3626
(713) 978-6337
(713) 532-6337
Mailing address
8811 WESTHEIMER RD, SUITE 101, HOUSTON, TX 77063-3626
(713) 978-6337
(713) 532-6337

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05456
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12009303
CAQH PROVIDER ID
Enumeration date
01/03/2008
Last updated
10/09/2013
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