Individual
DR. MIR NAMATH ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9020 STONY POINT PKWY STE 140, RICHMOND, VA 23235-1944
(804) 330-0303
Mailing address
200 S DAVIS AVE APT 7115, RICHMOND, VA 23220-5135
(419) 799-9027
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102206764
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2017
Last updated
09/22/2021
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