Individual
DR. MIR T ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 W BROAD ST STE 300, RICHMOND, VA 23230-1709
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 622-0552
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101237755
VA
207RP1001X
Pulmonary Disease Physician
0101237755
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101237755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010140854
—
VA
01
—
180697
HEALTHKEEPERS
VA
01
—
227986794
TRICARE
VA
01
—
2788714
CIGNA
VA
01
—
309313
SOUTHERN HEALTH
VA
01
—
3768258
AETNA HMO
VA
01
—
56636
CARENET
VA
01
—
7814656
AETNA
VA
01
—
P00241104
MEDICARE RAILROAD
VA
Enumeration date
07/14/2006
Last updated
02/20/2026
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