Provider Demographics
NPI:1689728545
Name:SANAI, ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:SANAI
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 1:6730 HOLABIRD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-1700
Mailing Address - Country:US
Mailing Address - Phone:410-288-6226
Mailing Address - Fax:410-288-9048
Practice Address - Street 1:6730 HOLABIRD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-1743
Practice Address - Country:US
Practice Address - Phone:410-288-6226
Practice Address - Fax:410-288-9048
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044793207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD110073516OtherMEDICARE RAILROAD
MD52846602OtherBLUE CROSS BLUE SHIELD
MD451385OtherALL AETNA PLANS
MDE268-0001OtherFEDERAL BLUE SHIELD
MD064131600Medicaid
MDF65148Medicare UPIN
MD064131600Medicaid