Individual provider · NPI-1

Dr. Mir Namath Ali, D.O.

Physical Medicine & Rehabilitation · Richmond, VA

NPI number1215469507
StatusActive
Last updated in NPPESSep 22, 2021

Details

NPI
1215469507
Entity type
Individual (NPI-1)
Name
Dr. Mir Namath Ali
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 28, 2017
Certification date
Sep 22, 2021
Last updated
Sep 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation0102206764VAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

9020 Stony Point Pkwy Ste 140
Richmond, VA 23235-1944

Phone 804-330-0303

Mailing address

200 S Davis Ave Apt 7115
Richmond, VA 23220-5135

Phone 419-799-9027

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