Individual
ALI IMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 W GROVE AVE STE 115, MESA, AZ 85210-4942
(480) 306-5000
(480) 452-0300
Mailing address
1130 W GROVE AVE STE 115, MESA, AZ 85210-4942
(480) 306-5000
(480) 452-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61661
AZ
207R00000X
Internal Medicine Physician
72994-20
WI
208M00000X
Hospitalist Physician
61661
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100534
—
WI
Enumeration date
05/12/2017
Last updated
09/12/2024
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