Individual
DR. MOHAMED REDA ALI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, DEPARTMENT OF SURGERY, SACRAMENTO, CA 95817-2201
(916) 734-4596
(916) 734-3951
Mailing address
2315 STOCKTON BLVD, DEPARTMENT OF SURGERY, SACRAMENTO, CA 95817-2201
(916) 734-4596
(916) 734-3951
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A80020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08642
PI#
CA
Enumeration date
11/14/2005
Last updated
11/01/2007
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