Mir Inzamam Ali, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bismarck, ND

NPI 1124940119 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1124940119
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
515 E Broadway Ave
Bismarck, ND 58501-4407
Phone
(701) 495-0013
NPI assigned
Jul 29, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ND Yes

Addresses

Primary practice location

515 E Broadway Ave
Bismarck, ND 58501-4407

Mailing address

515 E Broadway Ave
Bismarck, ND 58501-4407
Phone (701) 495-0013

Other providers in Bismarck, ND

All providers in Bismarck, ND · Student in an Organized Health Care Education/Training Program in North Dakota

Sources for this page

Verify at the official NPI Registry.