Provider Demographics
NPI:1740802990
Name:WALI, JUNAID AHMAD (MD)
Entity Type:Individual
Prefix:
First Name:JUNAID
Middle Name:AHMAD
Last Name:WALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 MAIN STREET, SUIT 7230
Mailing Address - Street 2:STANFORD GRADUATE MEDICAL EDUCATION
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-723-5948
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:955 MAIN STREET, SUIT 7230
Practice Address - Street 2:OFFICE OF GRADUATE MEDICAL EDUCATION
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1121
Practice Address - Country:US
Practice Address - Phone:716-829-2012
Practice Address - Fax:716-829-3999
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2023-06-12
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2023-06-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program