Basic Information
Provider Information
NPI: 1952379000
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVI
FirstName: NAVEED
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 65 KANE ST
Address2: PROVIDER ENROLLMENT
City: WEST HARTFORD
State: CT
PostalCode: 061192110
CountryCode: US
TelephoneNumber: 8605236421
FaxNumber:  
Practice Location
Address1: 263 FARMINGTON AVE
Address2: UCONN MEDICAL GROUP/DIAGNOSTIC IMAGING & RAD ASSOCIATES
City: FARMINGTON
State: CT
PostalCode: 060300001
CountryCode: US
TelephoneNumber: 8606792784
FaxNumber: 8606794126
Other Information
ProviderEnumerationDate: 03/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X2001-129NMY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home