Individual
SAJJAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019024531
MO
390200000X
Student in an Organized Health Care Education/Training Program
BP10057726
TX
Other
Enumeration date
06/29/2016
Last updated
08/27/2019
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