IndividualActive
Rustom Ali, PHD
NPI 1790190155 · Nutrition Education Nutritionist · Lake Havasu City, AZ
Provider details
- NPI number
- 1790190155
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 778154 (AZ)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Other Service Providers
Practice location
1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Phone: (480) 703-4227
Approximate (ZIP-level) locationGet directions
Mailing address
1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2014-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.