Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | L3224 | TX |
NPI | 1013933902 |
---|---|
Provider Name | Mr. Sibtain H Ali |
First Address | Houston, TX 77017-6513 |
Second Address | Houston, TX 77017-6513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 03/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
159781701 | (05) | TX |
G46362 | (02) |