NPI 1770089039 · live from the CMS NPI Registry
Anam Ali
Podiatrist in Gainesville, VA. National Provider Identifier 1770089039, active.
NPI record
| NPI | 1770089039 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 7430 Heritage Village, Suite 101, Gainesville, VA 20155 |
| Practice phone | 703-753-3338 |
| Mailing address | 224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176 |
| Enumerated | April 4, 2018 |
| Last updated | December 12, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0103301325 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.