Doctor Name: | KHURRAM ALI |
NPI Number: | 1043410053 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 601 Potomac Station Dr Ne Leesburg, VA - 201761816 |
Business Phone Number: | 7038401396 |
Business Fax Number: | 7038401397 |
Mailing Address: | Po Box 758963, BALTIMORE |
State: | MD |
Postal Code: | 212758963 |
Phone Number: | 8049685700 |
Fax Number: | 8042177991 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |