Individual
AKBAR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W COUNTRY CLUB RD, SUITE 201, ROSWELL, NM 88201-5224
(575) 627-0535
(575) 627-5590
Mailing address
405 W COUNTRY CLUB RD, C/O MSO ADMINISTRATION, ROSWELL, NM 88201-5209
(575) 624-4777
(575) 626-8711
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2006-0029
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16376013
—
NM
05
—
8289639
—
WA
Enumeration date
09/20/2005
Last updated
09/11/2020
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