Provider Demographics
NPI:1174605935
Name:NAGIA, ALI H (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:H
Last Name:NAGIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8801 WINDY CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-1552
Mailing Address - Country:US
Mailing Address - Phone:703-897-1300
Mailing Address - Fax:703-897-1301
Practice Address - Street 1:2280 OPITZ BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-897-1300
Practice Address - Fax:703-897-1301
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057229207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH25177Medicare UPIN