-- MIR WASIF ALI -- MD
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1831301647- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 401 E HIGHLAND AVE STE 251, SAN BERNARDINO, CA, 924043800
- Phone
- (909) 882-4605
- Fax
- (909) 475-2680
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: CA #A81819
All Addresses
MAILING
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA, 956707956