Individual
ALI PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4600
Mailing address
1919 ELM STREET NORTH, UND SCHOOL OF MEDICINE AND HEALTH SCIENCES, FARGO, ND 58102
(701) 293-4113
(701) 293-4109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16405
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2016
Last updated
08/10/2020
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