Provider Demographics
NPI:1841236270
Name:ALI, SUMAIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMAIRA
Middle Name:
Last Name:ALI
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 1:45 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2961
Mailing Address - Country:US
Mailing Address - Phone:401-637-7202
Mailing Address - Fax:860-865-2393
Practice Address - Street 1:45 WELLS ST STE 201
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2927
Practice Address - Country:US
Practice Address - Phone:401-637-7202
Practice Address - Fax:860-865-2393
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI10826207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7009537Medicaid
RIH55543Medicare UPIN
RI00705773Medicare ID - Type Unspecified