# DR. ALI H MARDAN

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

## Provider details

- **NPI number:** 1619905353
- **Gender:** Man
- **Credential:** PHD, MD, RPVI, FACP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 41248 | IA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 11/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 315331 | — | SC |