Provider Demographics
NPI:1063426971
Name:CHOUCAIR, ALI K (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:K
Last Name:CHOUCAIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9715 BURNET RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5390
Mailing Address - Country:US
Mailing Address - Phone:512-505-5500
Mailing Address - Fax:512-334-2883
Practice Address - Street 1:900 E 30TH ST STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3378
Practice Address - Country:US
Practice Address - Phone:512-505-5500
Practice Address - Fax:512-334-2883
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT16644812052084N0400X
TXS49312084N0400X
IL0361412152084N0400X
WI279432084N0400X
KY441222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000726899OtherANTHEM- NORTON NEUROLOGY SERVICES
IN201035260OtherMEDICAID- NORTON NEUROLOGY SERVICES
KYK011680OtherMEDICARE PTAN- NORTON NEUROLOGY SERVICES
TX409583801Medicaid
KY000057151MOtherHUMANA- NORTON NEUROLOGY SERVICES
IL036141215001Medicaid
KY50034484OtherPASSPORT HEALTH- NNS
KY128297OtherSIHO- NORTON NEUROLOGY SERVICES
KY128297OtherSIHO- NORTON NEUROLOGY SERVICES