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Individual

MIR M ALI

Active
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Individual

MIR M ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070723A
IN
207R00000X
Internal Medicine Physician
148315
CA
207R00000X
Internal Medicine Physician
276959
NY
207RH0003X
Hematology & Oncology Physician
Primary
036.152740
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201060520
—
IN
Enumeration date
01/09/2012
Last updated
12/16/2021
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