Individual
MUJTABA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
1882 SERPENTINE DR, UNION CITY, CA 94587-4680
(510) 552-5703
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0050756
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A129464
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2010
Last updated
05/15/2024
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