Provider Demographics
NPI:1316130107
Name:ALI, KAMRAN BABAR (MD)
Entity type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:BABAR
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KAMRAN
Other - Middle Name:B
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS, MD
Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:DIVISION OF CARDIOLOGY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-6892
Mailing Address - Fax:
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:DIVISION OF CARDIOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine