Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD60950654 | WA |
NPI | 1326481243 |
---|---|
Provider Name | Sara Akhtar Ali |
First Address | Moses Lake, WA 98837-1872 |
Second Address | Moses Lake, WA 98837-4614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2139831 | (05) | WA |