Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G7817 | TX |
NPI | 1386695237 |
---|---|
Provider Name | Ali R Guerami |
First Address | Dallas, TX 75231-4339 |
Second Address | Dallas, TX 75231-4339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E48685 | (02) | TX |
G7817 | STATE LICENSE (01) | TX |