Individual
ALI NIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5616 SHIELDS DR, BETHESDA, MD 20817-3532
(301) 897-5522
(301) 897-2599
Mailing address
5616 SHIELDS DR, BETHESDA, MD 20817-3532
(301) 897-5522
(301) 897-2599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053269
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972002200
—
MD
Enumeration date
08/13/2006
Last updated
11/28/2007
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