Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101238234 | VA |
NPI | 1003828724 |
---|---|
Provider Name | Dr. Uzma M Ali |
First Address | Roanoke, VA 24018-2725 |
Second Address | Roanoke, VA 24018-2725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 22/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010309191 | (05) | VA |
I34609 | (02) | |
P00331756 | MEDICARE RAILROAD (01) | VA |