Provider Demographics
NPI:1669792214
Name:ALI, MIR KARAMAT (RPH)
Entity type:Individual
Prefix:DR
First Name:MIR
Middle Name:KARAMAT
Last Name:ALI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20313 BATTERY BEND PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-4594
Mailing Address - Country:US
Mailing Address - Phone:301-943-1563
Mailing Address - Fax:
Practice Address - Street 1:9840 MAIN ST
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2040
Practice Address - Country:US
Practice Address - Phone:301-253-6288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-06
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist