| Mir M Ali M D A Professional Corporation | |
|
3400 W Ball Rd Ste 205 Anaheim CA 92804-3737 | |
| (714) 828-2554 | |
| Not Available |
| Full Name | Mir M Ali M D A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 W Ball Rd Ste 205, Anaheim, California |
| Authorized Official Name and Position | Mir M Ali (PRESIDENT) |
| Authorized Official Contact | 7148282554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mir M Ali M D A Professional Corporation 3400 W Ball Rd Ste 205 Anaheim CA 92804-3737 Ph: (714) 828-2554 | Mir M Ali M D A Professional Corporation 3400 W Ball Rd Ste 205 Anaheim CA 92804-3737 Ph: (714) 828-2554 |
| NPI Number | 1568574994 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 8426043241 |
|---|---|
| Medicare Enrollment ID | O20040419001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568574994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mir M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154335248 PECOS PAC ID: 0244225068 Enrollment ID: I20040421000560 |
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