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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUSTOM ALI, PHD

Active

DR. RUSTOM ALI, PHD is a Nutrition, Education healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1790190155 is currently active in the NPPES registry. Verify at CMS.

Nutrition, Education · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1790190155
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2014 (11.951200330209 yrs)
Last Updated
Jun 24, 2014
Licenses
778154 (AZ)
778154 (AZ)

Practice Information

Address
1968 MESQUITE AVE
LAKE HAVASU CITY, AZ, 864035729
Browse AZ providers · Browse ZIP 86403
Phone
4807034227
Primary Specialty
Nutrition, Education
133NN1002X
Additional Specialty
Health Educator
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.