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General NPI Number Information
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NPI Number | 1235626771
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Entity Type | Individual
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Provider Name | WALID ALI MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 940 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5008
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Country | US
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Telephone | 52-712-4224
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Fax | 405-271-2568
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 41800
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | DC
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