ALI MORTAZAVI MD NPI 1295821478

NPI Information

NPI: 1295821478
Provider Name: ALI MORTAZAVI, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
2727 W HOLCOMBE BLVD
HOUSTON, TX
ZIP 77025
Phone: (713) 442-0000
Get Directions

Ali Mortazavi, MD is a clinical cardiac electrophysiology internal medicine in Houston, TX with 45 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Ali Mortazavi, MD NPI is 1295821478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2727 W HOLCOMBE BLVD
HOUSTON, TX
ZIP 77025-669
Phone: (713) 442-0000

The NPI 1295821478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 6/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		J3165	TEXAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	J3165	TEXAS	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	J3165	TEXAS	Yes
4	207RI0011X	Internal Medicine	Interventional Cardiology	J3165	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	117188603	MEDICAID	TEXAS
2	117188608	MEDICAID	TEXAS
3	117188607	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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