# ALI A LATEFI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215972732
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 3038 | TN | — |
| 208800000X | Urology Physician | 48946 | MN | — |
| 208800000X | Urology Physician | 89687 | SC | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 11/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 896873 | — | SC |
| 01 | — | SCQ8263365 | MEDICARE PIN | SC |