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Individual

RIYAZ MOHAMMED ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6204
(301) 997-6507
Mailing address
PO BOX 824339, PHILADELPHIA, PA 19182-4339
(866) 709-4485
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101249934
VA
207L00000X
Anesthesiology Physician
Primary
D0072618
MD
207L00000X
Anesthesiology Physician
MD442908
PA

Other

Enumeration date
03/17/2008
Last updated
07/10/2013
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