Provider Demographics
NPI:1861714263
Name:ALAVI, ALIREZA REY (DO)
Entity type:Individual
Prefix:DR
First Name:ALIREZA
Middle Name:REY
Last Name:ALAVI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:60 CROSS CREEK PL
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1484
Mailing Address - Country:US
Mailing Address - Phone:415-497-4292
Mailing Address - Fax:
Practice Address - Street 1:601 VAN NESS AVE STE E3619
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3200
Practice Address - Country:US
Practice Address - Phone:415-531-9047
Practice Address - Fax:415-213-4659
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10778207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine