MEDICARE: ALI M RKEIN M.D.

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	207N00000X	Dermatology Physician	48945	AZ
2	207ND0101X	MOHS-Micrographic Surgery Physician	48945	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053631457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI M RKEIN M.D.

Provider Business Mailing Address
First Line	:	1688 E BOSTON ST #101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-6220
Country	:	US
Telephone Number	:	480-855-0085
Fax Number	:	480-855-0086

Provider Business Practice Location Address
First Line	:	1688 E BOSTON ST #101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-6220
Country	:	US
Telephone Number	:	480-855-0085
Fax Number	:	480-855-0086

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

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	07/28/2023

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Directions to “ ALI M RKEIN M.D.” Practice Location

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