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NPI Code Detail

MEDICARE: MR. SYED IQBAL ALI

MEDICARE: MR. SYED IQBAL 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
1183500000XPharmacist60800CA

General Provider Information

NPI Number : 1982987731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SYED IQBAL ALI
Provider Business Mailing Address
First Line : 2900 TREE SWALLOW CIR
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-8108
Country : US
Telephone Number : 916-690-1701
Fax Number :
Provider Business Practice Location Address
First Line : 8400 ELK GROVE FLORIN RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-9450
Country : US
Telephone Number : 916-525-3563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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