Individual
DR. NAUREEN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Mailing address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020036616
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2020036616
MO
207RI0200X
Infectious Disease Physician
2020036616
MO
Other
Enumeration date
06/25/2015
Last updated
07/07/2021
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