| Mr Mir Karamat Ali, | |
|
2403 Professional Dr, Santa Rosa, CA 95403-3007 | |
| (707) 544-3295 | |
| Not Available |
| Full Name | Mr Mir Karamat Ali |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2403 Professional Dr, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518444058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18973 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mir Karamat Ali, Po Box 2418, Monrovia, CA 91017-6418 Ph: (626) 533-7168 | Mr Mir Karamat Ali, 2403 Professional Dr, Santa Rosa, CA 95403-3007 Ph: (707) 544-3295 |
Jessica Lynn Allen, RAS #M0605161317 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 Professional Dr, Suite 101, Santa Rosa, CA 95403 Phone: 707-544-3295 Fax: 707-544-9011 | |
Patricia R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Neotomas Ave, Santa Rosa, CA 95405 Phone: 707-565-6971 | |
Jose Louis Safont, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Coddingtown Ctr, Santa Rosa, CA 95401 Phone: 707-565-7641 | |
Michelle Lyn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 S E St, Suite 200, Santa Rosa, CA 95404 Phone: 707-529-6270 | |
Paul Cesar Gonzalez Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 Cleveland Ave., Santa Rosa, CA 95401 Phone: 707-571-2215 | |
Chelsea Gollob, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2230 Professional Dr Ste A, Santa Rosa, CA 95403 Phone: 707-483-9061 | |
Lisa Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 534 B St, Santa Rosa, CA 95401 Phone: 650-271-0376 |