Individual
IFRAH ABDI ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 729-2819
Mailing address
1272 MAKEWAY ST, ROSEVILLE, CA 95747-4111
(408) 528-4022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
XXXXXXXXXX
CA
Other
Enumeration date
12/03/2015
Last updated
10/06/2022
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