Individual
TANVIR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 WEATHERSFIELD WAY, SAN JOSE, CA 95118-3554
(650) 743-0616
Mailing address
1268 WEATHERSFIELD WAY, SAN JOSE, CA 95118-3554
(650) 743-0616
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D9385024
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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