Provider Demographics
NPI:1053676858
Name:ALI, MIR AKBAR (MD)
Entity type:Individual
Prefix:DR
First Name:MIR
Middle Name:AKBAR
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 S PADRE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-2347
Mailing Address - Country:US
Mailing Address - Phone:361-851-6900
Mailing Address - Fax:956-291-9866
Practice Address - Street 1:925 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-2347
Practice Address - Country:US
Practice Address - Phone:361-851-6900
Practice Address - Fax:956-291-9866
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27208207RI0200X
MA260942207RI0200X
CT52994207RI0200X
VA0101259856207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease