Provider Demographics
NPI:1225295975
Name:ALI, FOZIA AKHTAR (MD)
Entity Type:Individual
Prefix:DR
First Name:FOZIA
Middle Name:AKHTAR
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9000
Mailing Address - Fax:
Practice Address - Street 1:903 W MARTIN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-0903
Practice Address - Country:US
Practice Address - Phone:210-358-3985
Practice Address - Fax:210-358-5942
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2016-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP0334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282900401Medicaid
TX282900401Medicaid