Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD039035 | DC |
NPI | 1083848766 |
---|---|
Provider Name | Sarah Ali |
First Address | Washington, DC 20009-2627 |
Second Address | Washington, DC 20009-2627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 29/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD039035 | STATE LICENSE BOARD (01) | DC |