Hafsa J Ali
Individual provider Active NPI Specialist · Burnsville, MN
NPI 1669215323 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1669215323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 100 River Ridge CT Ste 1
Burnsville, MN 55337-1613 - Phone
- (612) 458-9502
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
100 River Ridge CT Ste 1
Burnsville, MN 55337-1613
Mailing address
100 River Ridge CT Ste 1
Burnsville, MN 55337-1613
Phone (612) 458-9502
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.