Individual
IRFANA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10540 CONNECTICUT AVE, KENSINGTON, MD 20895-2426
(301) 949-0030
(301) 949-0033
Mailing address
10540 CONNECTICUT AVE, KENSINGTON, MD 20895-2426
(301) 949-0030
(301) 949-0033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0055147
MD
207P00000X
Emergency Medicine Physician
MD33999
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034519200
—
DC
01
—
44330039
BLUECROSS BLUESHIELD
DC
Enumeration date
12/15/2005
Last updated
05/31/2011
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