Individual
ALI R HOMAYUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 MARION AVE, MCCOMB, MS 39648-2707
(601) 249-1350
(601) 249-1339
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20188
MS
207RI0011X
Interventional Cardiology Physician
Primary
20188
MS
207RI0011X
Interventional Cardiology Physician
51391
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603763
—
MS
05
—
7100561600
—
KY
Enumeration date
07/09/2005
Last updated
08/02/2023
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