Provider Demographics
NPI:1093743809
Name:ALI, SABIHA J (MD)
Entity Type:Individual
Prefix:
First Name:SABIHA
Middle Name:J
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 MABRY MILL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8045
Mailing Address - Country:US
Mailing Address - Phone:281-286-7100
Mailing Address - Fax:
Practice Address - Street 1:2014 MABRY MILL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8045
Practice Address - Country:US
Practice Address - Phone:281-286-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG90522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115411401Medicaid
TXD15925Medicare UPIN
00L70DMedicare ID - Type Unspecified