Individual
DR. ALI ENTEZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8116 GOOD LUCK RD, STE 300, LANHAM, MD 20706-3502
(301) 552-8130
Mailing address
8116 GOOD LUCK RD, STE 300, LANHAM, MD 20706-3502
(301) 552-8130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0079480
MD
Other
Enumeration date
06/26/2012
Last updated
05/26/2016
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