Individual
ALI R SEPAHDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036117841
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A113928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001088601
MEDICARE PROVIDER
MA
01
—
001088602
MEDICARE ACD
MA
05
—
0A1139280
—
CA
05
—
2174341
—
MA
Enumeration date
04/13/2007
Last updated
02/11/2025
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