Provider Demographics
NPI:1992687321
Name:ALI, IMAN MUHAMMAD
Entity type:Individual
Prefix:
First Name:IMAN
Middle Name:MUHAMMAD
Last Name:ALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21185 E TWIN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6545
Mailing Address - Country:US
Mailing Address - Phone:602-736-8323
Mailing Address - Fax:
Practice Address - Street 1:21185 E TWIN ACRES DR
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6545
Practice Address - Country:US
Practice Address - Phone:602-736-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter