Provider Demographics
NPI:1053676858
Name:ALI, MIR AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MIR
Middle Name:AKBAR
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2938
Mailing Address - Country:US
Mailing Address - Phone:804-446-1959
Mailing Address - Fax:804-452-7500
Practice Address - Street 1:411 W RANDOLPH RD
Practice Address - Street 2:SUITE 300 - INFECTIOUS DISEASES & EPIDEMIOLOGY
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2938
Practice Address - Country:US
Practice Address - Phone:804-446-1959
Practice Address - Fax:804-452-7500
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27208207RI0200X
MA260942207RI0200X
CT52994207RI0200X
VA0101259856207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease