Provider Demographics
NPI:1376799858
Name:ALI, SYED ASAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ASAD
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1111 EXPOSITION BLVD
Mailing Address - Street 2:STE 301
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4324
Mailing Address - Country:US
Mailing Address - Phone:520-247-2424
Mailing Address - Fax:
Practice Address - Street 1:333 UNIVERSITY AVE STE 120
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6532
Practice Address - Country:US
Practice Address - Phone:916-929-8564
Practice Address - Fax:916-929-4529
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZR71138207R00000X
CAA121525207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine