Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ali Etman

Individual provider Family Medicine Physician · NPI 1760011514

Dr. Ali Etman is a Family Practice in Phoenix, Arizona. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

1300 N 12th St Ste 605
Phoenix, AZ 85006-2850
Phone: (602) 839-4567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 70200 (AZ)

Record details

NPI number1760011514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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