Individual
ALI AJMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-4455
Mailing address
1500 S FAIRFIELD AVE # F-914, CHICAGO, IL 60608-1782
(773) 257-5914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116036377
VA
207R00000X
Internal Medicine Physician
125.078392
IL
Other
Enumeration date
06/03/2021
Last updated
07/27/2022
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