Individual
IFTIKHAR ALI
Active
Individual
IFTIKHAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001007751
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100199760A
—
OK
05
—
100413450B
—
KS
05
—
100413450D
—
KS
01
—
170944
ANTHEM
—
05
—
205269418
—
MO
01
—
P00187608
RR MEDICARE
—
01
—
P0116491
RR MEDICARE
—
Enumeration date
06/27/2006
Last updated
08/15/2023
Update your record
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