Individual
QAIS ABU ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4506 STEPHENS CIR NW, CANTON, OH 44718-3628
(330) 994-0436
(330) 492-4906
Mailing address
4506 STEPHENS CIR NW, CANTON, OH 44718-3628
(330) 994-0436
(330) 492-4906
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
40491
AZ
207R00000X
Internal Medicine Physician
Primary
40491
AZ
390200000X
Student in an Organized Health Care Education/Training Program
4301079654
MI
Other
Enumeration date
06/18/2008
Last updated
05/14/2012
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