Individual
HUMERA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 NE BLAKELY DR STE 3020, ISSAQUAH, WA 98029-6201
(206) 861-8550
(206) 861-8551
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00036691
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00036691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004126
—
WA
05
—
8232027
—
WA
Enumeration date
04/17/2006
Last updated
12/06/2022
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