Provider Demographics
NPI:1699727750
Name:ALI, ZAKIR M (MD)
Entity type:Individual
Prefix:DR
First Name:ZAKIR
Middle Name:M
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1801 HIGHWAY 99 N
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9649
Mailing Address - Country:US
Mailing Address - Phone:541-482-5515
Mailing Address - Fax:541-482-2433
Practice Address - Street 1:1801 HIGHWAY 99 N
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-9649
Practice Address - Country:US
Practice Address - Phone:541-482-5515
Practice Address - Fax:541-482-2433
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD251172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORH16047Medicare UPIN