NPI 1790181014 · live from the CMS NPI Registry
Kabir Alshan Ali, PA-C
Physician Assistant in Marietta, GA. National Provider Identifier 1790181014, active.
NPI record
| NPI | 1790181014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 55 Whitcher St Ne Ste 350, Marietta, GA 30060 |
| Practice phone | 770-424-6893 |
| Mailing address | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309 |
| Enumerated | November 13, 2014 |
| Last updated | November 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.