Provider Demographics
NPI:1275117053
Name:MANSOOR ALI, SALIMA (MBBS)
Entity Type:Individual
Prefix:
First Name:SALIMA
Middle Name:
Last Name:MANSOOR ALI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 RESERVOIR RD NW DEPARTMENT OF PATHOLOGY
Mailing Address - Street 2:MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:202-687-3614
Mailing Address - Fax:202-687-8935
Practice Address - Street 1:3800 RESERVOIR RD NW DEPARTMENT OF PATHOLOGY
Practice Address - Street 2:MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-687-3614
Practice Address - Fax:202-687-8935
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program