Provider Demographics
NPI:1093740227
Name:ALI, ZULFIQAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZULFIQAR
Middle Name:
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 1:1900 MOWRY AVE,
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-790-2422
Mailing Address - Fax:510-790-1164
Practice Address - Street 1:1900 MOWRY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1722
Practice Address - Country:US
Practice Address - Phone:510-790-2422
Practice Address - Fax:510-790-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A3844900Medicare ID - Type Unspecified