| Infectious Diseases & Epidemiology Pc | |
|
411 W Randolph Rd Suite 300 - Infectious Diseases & Epidemiology Hopewell VA 23860-2938 | |
| (804) 446-1959 | |
| (804) 452-7500 |
| Full Name | Infectious Diseases & Epidemiology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 411 W Randolph Rd, Hopewell, Virginia |
| Authorized Official Name and Position | Mir Akbar Ali (PRESIDENT) |
| Authorized Official Contact | 8044461959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases & Epidemiology Pc 411 W Randolph Rd Hopewell VA 23860-2938 Ph: (804) 446-1959 | Infectious Diseases & Epidemiology Pc 411 W Randolph Rd Suite 300 - Infectious Diseases & Epidemiology Hopewell VA 23860-2938 Ph: (804) 446-1959 |
| NPI Number | 1790234276 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 1052692639 |
|---|---|
| Medicare Enrollment ID | O20161220001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790234276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 0101259856 (Virginia) | Primary |
| Provider Name | Mir A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053676858 PECOS PAC ID: 7810123551 Enrollment ID: I20161122002355 |
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