MEDICARE: RUQAYAH ALI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	390200000X	MN

General Provider Information

NPI Number	:	1568263291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUQAYAH ALI

Provider Business Mailing Address
First Line	:	2409 EYRIE DR
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55129-4303
Country	:	US
Telephone Number	:	612-644-9296
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 19TH ST NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-7619
Country	:	US
Telephone Number	:	507-284-3293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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Directions to “ RUQAYAH ALI ” Practice Location

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