Provider Demographics
NPI:1144210766
Name:ALI, SYED TAHIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:TAHIR
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:710 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3808
Mailing Address - Country:US
Mailing Address - Phone:412-771-6462
Mailing Address - Fax:412-771-6423
Practice Address - Street 1:710 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3808
Practice Address - Country:US
Practice Address - Phone:412-771-6462
Practice Address - Fax:412-771-6423
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD057962L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG31703Medicare UPIN