Individual
KHALED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1249 15TH ST, HUNTINGTON, WV 25701-3661
(304) 691-1000
(304) 691-1693
Mailing address
1249 15TH ST, HUNTINGTON, WV 25701-3661
(304) 691-1000
(304) 691-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2013-0194
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
10/31/2019
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