Individual
KHURRAM ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 COYLE AVE, HOSPITALIST OFFICE, CARMICHAEL, CA 95608-0302
(916) 537-5079
Mailing address
1650 CREEKSIDE DR, FOLSOM, CA 95630-3400
(916) 986-4426
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A78767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810610904
PHCS
CA
01
—
00A787670
BLUE SHIELD
CA
05
—
00A787670
—
CA
01
—
106121
HEALTH NET
CA
01
—
1855891
GREAT WEST
CA
01
—
2240134
FIRST HEALTH
CA
01
—
236625
INTERPLAN
CA
01
—
7766597
AETNA
CA
01
—
8853749
CIGNA
CA
01
—
90143520
PACIFICARE
CA
01
—
A78767
BLUE CROSS
CA
01
—
MCMG345800
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
12/03/2014
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