Individual
DR. MIR I ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 609-2489
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54587
TN
207R00000X
Internal Medicine Physician
Primary
D0086009
MD
208M00000X
Hospitalist Physician
54587
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/03/2013
Last updated
06/29/2021
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