Most Relevant Information
Provider Data
| NPI Number: | 1003675430 |
| Provider Name: | MARYAM ALI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2024 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
4860 Y ST STE 2500
SACRAMENTO
CA
958172307
Practice Location Phone/Fax
| Phone: | 9167346978 |
| Fax: | 9167346666 |
Provider Mailing Location
4860 Y ST STE 2500
SACRAMENTO
CA
958172307
Provider Mailing Phone/Fax
| Phone: | 9167346978 |
| Fax: | 9167346666 |