Individual
ASHIM HAYDAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4578 FEATHER RIVER DR STE B, STOCKTON, CA 95219-6510
(619) 646-0416
Mailing address
6333 PACIFIC AVE # 544, STOCKTON, CA 95207-3713
(619) 646-0416
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00100912
CA
Other
Enumeration date
07/13/2016
Last updated
12/26/2023
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