Individual
SARA IMTIAZ ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 WEST MAIN ST STE 203, NEWARK, OH 43055-1501
(220) 564-2950
(220) 564-2951
Mailing address
5832 GENESEE DR, DURHAM, NC 27712-1222
(281) 975-8186
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2024-03450
NC
207RG0100X
Gastroenterology Physician
35.148566
OH
Other
Enumeration date
04/13/2017
Last updated
05/02/2025
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