Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101237755 | VA |
N | 207RP1001X | Pulmonary Disease | 0101237755 | VA |
Y | 207RS0012X | Sleep Medicine | 0101237755 | VA |
NPI | 1275559072 |
---|---|
Provider Name | Dr. Mir T Ali |
First Address | Richmond, VA 23225-5545 |
Second Address | Richmond, VA 23230-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010140854 | (05) | VA |
180697 | ANTHEM (01) | VA |
180697 | HEALTHKEEPERS (01) | VA |
227986794 | TRICARE (01) | VA |
2788714 | CIGNA (01) | VA |
309313 | SOUTHERN HEALTH (01) | VA |
3768258 | AETNA HMO (01) | VA |
56636 | CARENET (01) | VA |
7814656 | AETNA (01) | VA |
I27894 | (02) | VA |
P00241104 | MEDICARE RAILROAD (01) | VA |