Individual
AZHAR T. ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000
(651) 292-2178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478717000
—
MN
Enumeration date
07/17/2006
Last updated
07/07/2021
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