Individual
RABIAH ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4033 TALBOT RD S STE 570, RENTON, WA 98055-5700
(425) 690-3489
(425) 690-9089
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D86162
MD
207R00000X
Internal Medicine Physician
Primary
MD61003864
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD61003864
WA
208M00000X
Hospitalist Physician
MD61003864
WA
390200000X
Student in an Organized Health Care Education/Training Program
201114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146315
—
WA
01
—
G9005107
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
04/02/2014
Last updated
05/05/2021
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