Provider Demographics
NPI:1538866413
Name:ALI, AQEEB RAHEMTULLAH
Entity type:Individual
Prefix:MR
First Name:AQEEB
Middle Name:RAHEMTULLAH
Last Name:ALI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 ANDREW OAKS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1810
Mailing Address - Country:US
Mailing Address - Phone:832-298-8327
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST STE JJL 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7882
Practice Address - Fax:713-500-0758
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program