Organization
IMAN ALI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAN H ALI MD (PHYSICIAN/OFFICER)
(817) 685-8018
Entity
Organization
Contact information
Practice address
2036 BEDFORD RD, BEDFORD, TX 76021-5709
(817) 685-8018
(817) 685-9484
Mailing address
2036 BEDFORD RD, BEDFORD, TX 76021-5709
(817) 685-8018
(817) 685-9484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00458M
MEDICARE GROUP PTAN NUMBER
TX
05
—
2017774
—
TX
Enumeration date
11/06/2007
Last updated
08/20/2009
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