Individual
MR. AHMED T ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 N 31ST AVE STE C264, PHOENIX, AZ 85051-9630
(205) 207-7777
Mailing address
10000 N 31ST AVE STE C264, PHOENIX, AZ 85051-9630
(205) 207-7777
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548479
—
AZ
Enumeration date
04/30/2021
Last updated
04/30/2021
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