Provider Demographics
NPI:1396973996
Name:ALI, MIR M (MD)
Entity type:Individual
Prefix:
First Name:MIR
Middle Name:M
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:706 WILKINS ST
Mailing Address - Street 2:STE C
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4662
Mailing Address - Country:US
Mailing Address - Phone:919-205-1627
Mailing Address - Fax:919-205-1686
Practice Address - Street 1:706 WILKINS ST
Practice Address - Street 2:STE C
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4662
Practice Address - Country:US
Practice Address - Phone:919-205-1627
Practice Address - Fax:919-205-1686
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC20141985207R00000X, 207RS0012X
NC2014-01985207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine