Basic Information
Provider Information
NPI: 1932550522
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEBI
FirstName: ALI
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3227 VESTA LN
Address2:  
City: HARRISBURG
State: PA
PostalCode: 171109170
CountryCode: US
TelephoneNumber: 5515749818
FaxNumber:  
Practice Location
Address1: 411 N WASHINGTON AVE STE 7000
Address2:  
City: DALLAS
State: TX
PostalCode: 752461791
CountryCode: US
TelephoneNumber: 2143582300
FaxNumber: 2145796988
Other Information
ProviderEnumerationDate: 06/25/2016
LastUpdateDate: 07/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RN0300XT1618TXY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207R00000XT1618TXN Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
T161801TXTX MEDICAL LICENSEOTHER


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