Individual
DR. ALI KIMYAGHALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE STE 301, CHEYENNE, WY 82001-3178
(307) 637-1600
(307) 637-1699
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 637-1600
(307) 637-1699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
311290
NY
2086S0129X
Vascular Surgery Physician
0101285795
VA
2086S0129X
Vascular Surgery Physician
Primary
18666A
WY
2086S0129X
Vascular Surgery Physician
35.142390
OH
2086S0129X
Vascular Surgery Physician
7061377
ID
2086S0129X
Vascular Surgery Physician
MD480977
PA
Other
Enumeration date
05/17/2016
Last updated
01/06/2026
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