Organization
KASHIF R. ALI,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASHIF R ALI MD (PRESIDENT)
(678) 471-9592
Entity
Organization
Contact information
Practice address
10900 JONES RD, SUITE 1, HOUSTON, TX 77065-5471
(678) 471-9592
Mailing address
15810 LONG NECK DR, MAGNOLIA, TX 77355-3655
(832) 277-1178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L2089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039XQ
BLUE CROSS BLUE SHIELD
TX
05
—
2886137
—
TX
Enumeration date
02/13/2012
Last updated
10/07/2016
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