MEDICARE: MRS. RUBY SALIHA ALI 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	2084N0400X	Neurology Physician	A99849	CA

General Provider Information

NPI Number	:	1093990426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUBY SALIHA ALI M.D.

Provider Business Mailing Address
First Line	:	1020 NUT TREE RD
Second Line	:	STE 270
City	:	VACAVILLE
State	:	CA
Zip	:	95687-4100
Country	:	US
Telephone Number	:	707-646-4370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 PENNSYLVANIA AVENUE
Second Line	:	SUITE 210
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-3550
Country	:	US
Telephone Number	:	707-646-4380
Fax Number	:

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	01/31/2019

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