Individual
DR. MAHBOOB ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 E MARCH LN STE A170, STOCKTON, CA 95210-6673
(209) 951-9884
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052353
CT
207RI0011X
Interventional Cardiology Physician
Primary
A147096
CA
208M00000X
Hospitalist Physician
052353
CT
Other
Enumeration date
08/16/2012
Last updated
07/28/2020
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