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Individual
WAQAS ALI
Active
Individual
WAQAS ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118103
IL
207R00000X
Internal Medicine Physician
Primary
35134
IA
207RI0200X
Infectious Disease Physician
35134
IA
208M00000X
Hospitalist Physician
036118103
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297184
—
IA
01
—
P00052139
RR MEDICARE
IA
Enumeration date
12/20/2005
Last updated
03/07/2013
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