Individual
IJAZ ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Mailing address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
200801118
NC
207RN0300X
Nephrology Physician
35087548
OH
207RN0300X
Nephrology Physician
Primary
49294
AZ
Other
Enumeration date
06/29/2006
Last updated
09/24/2014
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