Individual
DR. ALI JARRAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2830 MAPLEWOOD AVE, SUITE A, WINSTON-SALEM, NC 27103-4100
(336) 768-2424
Mailing address
2830 MAPLEWOOD AVE, SUITE A, WINSTON-SALEM, NC 27103-4100
(336) 768-2424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018082
VALUE OPTIONS
NC
01
—
10247
MBC
NC
01
—
45827
BLUE CROSS BLUE SHIELD
NC
05
—
8945827
—
NC
Enumeration date
02/22/2006
Last updated
02/10/2014
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