Provider Demographics
NPI:1093118796
Name:ALY, MUHAMMAD (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:ALY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 OLD HIGHWAY 431 STE C
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9274
Mailing Address - Country:US
Mailing Address - Phone:256-585-3961
Mailing Address - Fax:256-585-3971
Practice Address - Street 1:180 OLD HIGHWAY 431 STE C
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9274
Practice Address - Country:US
Practice Address - Phone:256-585-3970
Practice Address - Fax:256-585-3971
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL35319207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine