Provider Demographics
NPI:1265027296
Name:ALI, AFANINE M (PA-C)
Entity Type:Individual
Prefix:
First Name:AFANINE
Middle Name:M
Last Name:ALI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6119 WILLIAMSON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2468
Mailing Address - Country:US
Mailing Address - Phone:313-641-1390
Mailing Address - Fax:
Practice Address - Street 1:22350 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2421
Practice Address - Country:US
Practice Address - Phone:313-406-2410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant