Provider Demographics
NPI:1225478621
Name:ALI, MUHAMMAD SAJAWAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:SAJAWAL
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST STE M404
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:127-465-6412
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST STE M404
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0848
Practice Address - Fax:646-962-0529
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317576-01207RP1001X, 207RP1001X
MI4301502589207R00000X, 207RP1001X
MA278121207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA278121OtherBOARD OF REGISTRATION IN MEDICINE
NY317576-01OtherNEW YORK MEDICAL LICENSE
WI65238-20OtherTHE STATE OF WISCONSIN DSPS MEDICAL EXAMINING BOARD