Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 125238 | CA |
NPI | 1265696660 |
---|---|
Provider Name | Dr. Marwan M. Ali |
First Address | Folsom, CA 95630-3832 |
Second Address | Folsom, CA 95630-3832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 25/06/2020 |