Provider Demographics
NPI:1417285362
Name:HASANALI, RIYAD AMIRALI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RIYAD
Middle Name:AMIRALI
Last Name:HASANALI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 STARGRASS STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5165
Mailing Address - Country:US
Mailing Address - Phone:830-214-2920
Mailing Address - Fax:830-935-4532
Practice Address - Street 1:113 STARGRASS STE 100
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-5165
Practice Address - Country:US
Practice Address - Phone:830-214-2920
Practice Address - Fax:830-935-4532
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist