Dr. Mir I Ali, MBBS
Internal Medicine in Rockville, MD. Individual provider (NPI-1).
NPI number1427495175
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1427495175
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mir I Ali
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2013
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D0086009 | MD | Yes |
| 207R00000X | Internal Medicine | 54587 | TN | |
| 208M00000X | Hospitalist | 54587 | TN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | VA |
Practice location
2101 E Jefferson StRockville, MD 20852-4908
Phone 301-609-2489
Mailing address
105 W Stone DrSuite 6a
Kingsport, TN 37660-3365
Phone 423-408-7220 · Fax 423-408-7405
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