NPI 1063683217

Riyaz Mohammed Ali, MD

Practitioner Anesthesiology Physician Leonardtown, MD

Practice location

Address: 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Phone: (301) 475-6204
Fax: (301) 997-6507
Mailing address: PO Box 824339, Philadelphia, PA 19182-4339

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence D0072618 (MD)

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Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD442908 (PA)

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Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 0101249934 (VA)

Registry record

NPI: 1063683217
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2008
Record last updated: 10 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.