Healthcare Provider Details

I. General information

NPI: 1346254430
Provider Name (Legal Business Name): UZMA ALI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11850 BLACKFOOT ST NW STE 100
COON RAPIDS MN
55433-2774
US

IV. Provider business mailing address

2550 UNIVERSITY AVE W STE 110N
SAINT PAUL MN
55114-8693
US

V. Phone/Fax

Practice location:
  • Phone: 763-712-2100
  • Fax: 651-414-3101
Mailing address:
  • Phone: 651-602-5309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number48237
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: