Individual
DR. ASIM M ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD, STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-6308
Mailing address
3009 N BALLAS RD, STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003014724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115806
BCBS IL
IL
01
—
1821047218
NPI
MO
05
—
1821047218
—
MO
01
—
P00274736
RR MEDICARE
MO
01
—
R01060
MEDICARE
IL
Enumeration date
05/10/2006
Last updated
01/08/2014
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