Provider Demographics
NPI:1285997627
Name:ALKTAIFI, ALI M (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:M
Last Name:ALKTAIFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:327 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-8912
Mailing Address - Country:US
Mailing Address - Phone:909-543-5387
Mailing Address - Fax:909-886-3069
Practice Address - Street 1:7500 RIALTO BLVD STE 1-140
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:512-730-3056
Practice Address - Fax:888-730-1925
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA132183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine